Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $95.50 / $95.50	Facility	26	$85.11	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $630.96	Professional		$275.42	$407.38	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $131.83 / $223.87	Professional	26	$79.43	$131.83	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $457.09	Professional	TC	$186.21	$281.84	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $95.50 / $138.04	Facility	26	$20.42	$95.50	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $645.65 / $2,630.27	Professional		$234.42	$645.65	$2,630.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $117.49 / $426.58	Professional	26	$63.10	$117.49	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $467.74 / $1,778.28	Professional	TC	$162.18	$467.74	$1,778.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $144.54 / $223.87	Professional	26	$134.90	$144.54	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $512.86 / $1,071.52	Professional		$229.09	$512.86	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $100.00 / $181.97	Professional	26	$53.70	$100.00	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $380.19 / $891.25	Professional	TC	$165.96	$380.19	$891.25