Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $69.18 / $69.18	Facility	26	$61.66	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $436.52	Professional		$181.97	$251.19	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $144.54	Professional	26	$52.48	$83.18	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $173.78 / $331.13	Professional	TC	$128.82	$173.78	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $165.96 / $281.84	Professional		$61.66	$165.96	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $95.50	Facility	26	$14.45	$67.61	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $436.52 / $1,778.28	Professional		$169.82	$436.52	$1,778.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $83.18 / $323.59	Professional	26	$44.67	$83.18	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $338.84 / $1,148.15	Professional	TC	$120.23	$338.84	$1,148.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $102.33 / $158.49	Professional	26	$93.33	$102.33	$158.49
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	TC	$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $389.05 / $707.95	Professional		$158.49	$389.05	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $75.86 / $141.25	Professional	26	$40.74	$75.86	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $281.84 / $575.44	Professional	TC	$123.03	$281.84	$575.44