Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.31 / $99.35 / $151.24	Facility	26	$90.31	$99.35	$151.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.93 / $319.92 / $482.75	Professional		$251.93	$319.92	$482.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.83 / $90.32 / $186.20	Professional	26	$76.83	$90.32	$186.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.67 / $224.76 / $385.85	Professional	TC	$164.67	$224.76	$385.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $284.83 / $578.77	Professional		$121.97	$284.83	$578.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.41 / $98.41 / $98.41	Facility	26	$98.41	$98.41	$98.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.48 / $549.16 / $1,838.07	Professional		$244.48	$549.16	$1,838.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.79 / $134.57 / $449.87	Professional	26	$74.79	$134.57	$449.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.68 / $418.57 / $1,326.11	Professional	TC	$169.68	$418.57	$1,326.11
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $136.30 / $225.99 / $231.35	Professional	26	$136.30	$225.99	$231.35
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $374.80 / $374.80 / $374.80	Professional	TC	$374.80	$374.80	$374.80
United Facility/Professional Professional Modifier Low / Median / High Price $217.17 / $561.92 / $1,035.33	Professional		$217.17	$561.92	$1,035.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.51 / $119.38 / $212.58	Professional	26	$57.51	$119.38	$212.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $160.34 / $402.58 / $877.59	Professional	TC	$160.34	$402.58	$877.59