Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.42 / $63.16 / $96.79	Facility	26	$57.42	$63.16	$96.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.55 / $191.33 / $347.77	Professional		$165.55	$191.33	$347.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.32 / $62.68 / $119.99	Professional	26	$49.32	$62.68	$119.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.49 / $131.07 / $285.08	Professional	TC	$110.49	$131.07	$285.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $167.09 / $342.89	Professional		$77.51	$167.09	$342.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.24 / $63.24 / $63.24	Facility	26	$63.24	$63.24	$63.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.26 / $358.05 / $1,397.37	Professional		$169.26	$358.05	$1,397.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.08 / $86.64 / $282.79	Professional	26	$48.08	$86.64	$282.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.20 / $269.42 / $879.15	Professional	TC	$97.20	$269.42	$879.15
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.66 / $95.81 / $147.90	Professional	26	$87.66	$95.81	$147.90
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $209.74 / $209.74 / $214.70	Professional	TC	$209.74	$209.74	$214.70
United Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $331.23 / $639.41	Professional		$121.79	$331.23	$639.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.20 / $72.13 / $137.35	Professional	26	$37.20	$72.13	$137.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.12 / $266.30 / $508.02	Professional	TC	$101.12	$266.30	$508.02