Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.53 / $119.38 / $119.38	Facility	26	$108.53	$119.38	$119.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $438.22 / $624.64	Professional		$400.00	$438.22	$624.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.53 / $140.00 / $228.12	Professional	26	$108.53	$140.00	$228.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $329.69 / $488.46	Professional	TC	$281.41	$329.69	$488.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $121.55 / $121.55	Professional		$121.55	$121.55	$121.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.33 / $122.33 / $122.33	Facility	26	$122.33	$122.33	$122.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.96 / $1,047.63 / $4,359.20	Professional		$451.96	$1,047.63	$4,359.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.97 / $157.61 / $514.15	Professional	26	$92.97	$157.61	$514.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.04 / $865.96 / $2,613.56	Professional	TC	$316.04	$865.96	$2,613.56
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $167.15 / $185.19 / $285.42	Professional	26	$167.15	$185.19	$285.42
United Facility/Professional Professional Modifier Low / Median / High Price $395.97 / $1,053.95 / $1,924.84	Professional		$395.97	$1,053.95	$1,924.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.66 / $140.94 / $299.41	Professional	26	$67.66	$140.94	$299.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $334.03 / $793.89 / $1,739.95	Professional	TC	$334.03	$793.89	$1,739.95