Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.02 / $86.02 / $86.02	Facility	26	$86.02	$86.02	$86.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.27 / $400.00 / $522.50	Professional		$268.27	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.02 / $118.59 / $154.00	Professional	26	$86.02	$118.59	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $182.26 / $281.41 / $368.50	Professional	TC	$182.26	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $96.01 / $96.01	Professional		$96.01	$96.01	$96.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.82 / $96.82 / $96.82	Facility	26	$96.82	$96.82	$96.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.72 / $605.29 / $2,530.30	Professional		$250.72	$605.29	$2,530.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.59 / $124.91 / $413.16	Professional	26	$73.59	$124.91	$413.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.19 / $446.29 / $1,719.62	Professional	TC	$162.19	$446.29	$1,719.62
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.15 / $132.15 / $132.15	Professional	26	$132.15	$132.15	$132.15
United Facility/Professional Professional Modifier Low / Median / High Price $244.51 / $599.37 / $1,153.96	Professional		$244.51	$599.37	$1,153.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.66 / $128.02 / $235.24	Professional	26	$57.66	$128.02	$235.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.12 / $448.22 / $965.32	Professional	TC	$173.12	$448.22	$965.32