Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.78 / $60.78 / $60.78	Facility	26	$60.78	$60.78	$60.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.27 / $193.14 / $347.11	Professional		$167.27	$193.14	$347.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.41 / $58.24 / $125.12	Professional	26	$51.41	$58.24	$125.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.18 / $130.30 / $285.86	Professional	TC	$110.18	$130.30	$285.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $64.67 / $64.67	Professional		$64.67	$64.67	$64.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $65.98 / $65.98	Facility	26	$65.98	$65.98	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $356.87 / $1,393.69	Professional		$171.04	$356.87	$1,393.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.15 / $85.04 / $279.11	Professional	26	$50.15	$85.04	$279.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.64 / $269.76 / $880.28	Professional	TC	$96.64	$269.76	$880.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.32 / $99.30 / $152.53	Professional	26	$89.32	$99.30	$152.53
United Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $330.23 / $635.99	Professional		$141.83	$330.23	$635.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $74.16 / $142.53	Professional	26	$36.29	$74.16	$142.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.56 / $275.58 / $508.02	Professional	TC	$101.56	$275.58	$508.02