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 / $407.38 / $630.96	Professional		$269.15	$407.38	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $229.09	Professional	26	$85.11	$125.89	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $436.52	Professional	TC	$186.21	$281.84	$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 $234.42 / $645.65 / $2,630.27	Professional		$234.42	$645.65	$2,630.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $426.58	Professional	26	$64.57	$120.23	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $467.74 / $1,778.28	Professional	TC	$162.18	$467.74	$1,778.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	26	$131.83	$131.83	$131.83
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 / $100.00 / $181.97	Professional	26	$53.70	$100.00	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $380.19 / $891.25	Professional	TC	$165.96	$380.19	$891.25