Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.03 / $95.73 / $95.73	Facility	26	$87.03	$95.73	$95.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.58 / $400.00 / $522.50	Professional		$338.58	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.03 / $140.00 / $181.20	Professional	26	$87.03	$140.00	$181.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.55 / $281.41 / $368.50	Professional	TC	$251.55	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $95.76 / $95.76	Professional		$95.76	$95.76	$95.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.25 / $97.25 / $97.25	Facility	26	$97.25	$97.25	$97.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.25 / $923.63 / $3,872.57	Professional		$346.25	$923.63	$3,872.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.92 / $125.58 / $413.16	Professional	26	$73.92	$125.58	$413.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.06 / $760.67 / $2,674.96	Professional	TC	$226.06	$760.67	$2,674.96
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.69 / $184.03 / $228.64	Professional	26	$134.69	$184.03	$228.64
United Facility/Professional Professional Modifier Low / Median / High Price $315.24 / $823.13 / $1,729.11	Professional		$315.24	$823.13	$1,729.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.84 / $109.67 / $210.87	Professional	26	$53.84	$109.67	$210.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.48 / $612.26 / $1,704.91	Professional	TC	$234.48	$612.26	$1,704.91