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 $269.15 / $416.87 / $660.69	Professional		$269.15	$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
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 $20.42 / $95.50 / $138.04	Facility	26	$20.42	$95.50	$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 $63.10 / $117.49 / $457.09	Professional	26	$63.10	$117.49	$457.09
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $131.83 / $223.87	Professional	26	$131.83	$131.83	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $524.81 / $977.24	Professional		$218.78	$524.81	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $102.33 / $181.97	Professional	26	$53.70	$102.33	$181.97