Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $660.69	Professional		$275.42	$416.87	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $239.88	Professional	26	$85.11	$125.89	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $288.40 / $436.52	Professional	TC	$186.21	$288.40	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $97.72 / $138.04	Facility	26	$20.89	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $660.69 / $2,630.27	Professional		$239.88	$660.69	$2,630.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $457.09	Professional	26	$64.57	$120.23	$457.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $478.63 / $1,778.28	Professional	TC	$165.96	$478.63	$1,778.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $186.21 / $229.09	Professional	26	$147.91	$186.21	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $524.81 / $1,071.52	Professional		$229.09	$524.81	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $102.33 / $181.97	Professional	26	$53.70	$102.33	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $389.05 / $891.25	Professional	TC	$169.82	$389.05	$891.25