Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.78 / $86.78 / $86.78	Facility	26	$86.78	$86.78	$86.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.85 / $443.98 / $522.50	Professional		$329.85	$443.98	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.78 / $140.00 / $179.01	Professional	26	$86.78	$140.00	$179.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.07 / $335.00 / $368.50	Professional	TC	$243.07	$335.00	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $95.47 / $95.47	Professional		$95.47	$95.47	$95.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.95 / $96.95 / $96.95	Facility	26	$96.95	$96.95	$96.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.51 / $643.19 / $2,183.25	Professional		$309.51	$643.19	$2,183.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.66 / $127.08 / $414.99	Professional	26	$73.66	$127.08	$414.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.34 / $483.22 / $1,614.99	Professional	TC	$216.34	$483.22	$1,614.99
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $222.44 / $222.44 / $222.44	Professional	26	$222.44	$222.44	$222.44
United Facility/Professional Professional Modifier Low / Median / High Price $288.58 / $518.09 / $1,029.30	Professional		$288.58	$518.09	$1,029.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.37 / $117.51 / $209.55	Professional	26	$54.37	$117.51	$209.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $216.94 / $449.93 / $867.76	Professional	TC	$216.94	$449.93	$867.76