Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.66 / $63.66 / $63.66	Facility	26	$63.66	$63.66	$63.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $200.15 / $342.37	Professional		$197.33	$200.15	$342.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.83 / $63.66 / $129.01	Professional	26	$53.83	$63.66	$129.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.49 / $143.50 / $287.81	Professional	TC	$136.49	$143.50	$287.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $432.69 / $1,687.48	Professional		$200.42	$432.69	$1,687.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.21 / $88.83 / $290.12	Professional	26	$52.21	$88.83	$290.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $339.16 / $1,108.86	Professional	TC	$119.70	$339.16	$1,108.86
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.99 / $103.99 / $103.99	Professional	26	$103.99	$103.99	$103.99
United Facility/Professional Professional Modifier Low / Median / High Price $180.12 / $371.50 / $769.96	Professional		$180.12	$371.50	$769.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.90 / $87.41 / $149.08	Professional	26	$37.90	$87.41	$149.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.57 / $319.54 / $698.60	Professional	TC	$127.57	$319.54	$698.60