Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $70.79 / $70.79	Facility	26	$63.10	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $416.87	Professional		$173.78	$239.88	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $128.82	Professional	26	$51.29	$61.66	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $169.82 / $323.59	Professional	TC	$123.03	$169.82	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $501.19 / $1,737.80	Professional		$173.78	$501.19	$1,737.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $85.11 / $302.00	Professional	26	$45.71	$85.11	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $380.19 / $1,148.15	Professional	TC	$120.23	$380.19	$1,148.15
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $380.19 / $691.83	Professional		$158.49	$380.19	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $70.79 / $128.82	Professional	26	$38.02	$70.79	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $288.40 / $575.44	Professional	TC	$125.89	$288.40	$575.44