Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $630.96	Professional		$251.19	$380.19	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $109.65 / $173.78	Professional	26	$70.79	$109.65	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $269.15 / $512.86	Professional	TC	$177.83	$269.15	$512.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $81.28 / $114.82	Facility	26	$17.38	$81.28	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $602.56 / $2,089.30	Professional		$213.80	$602.56	$2,089.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $93.33 / $331.13	Professional	26	$53.70	$93.33	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $524.81 / $1,819.70	Professional	TC	$151.36	$524.81	$1,819.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	26	$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $457.09 / $954.99	Professional		$213.80	$457.09	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $74.13 / $144.54	Professional	26	$35.48	$74.13	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $346.74 / $870.96	Professional	TC	$151.36	$346.74	$870.96