Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.31 / $121.35 / $200.49	Facility	26	$110.31	$121.35	$200.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.02 / $425.42 / $522.50	Professional		$318.02	$425.42	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.32 / $227.81 / $236.34	Professional	26	$110.32	$227.81	$236.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.70 / $287.08 / $368.50	Professional	TC	$207.70	$287.08	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $315.14 / $659.02	Professional		$154.22	$315.14	$659.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.22 / $124.22 / $124.22	Facility	26	$124.22	$124.22	$124.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $801.21 / $4,517.09	Professional		$296.02	$801.21	$4,517.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.43 / $172.07 / $587.61	Professional	26	$94.43	$172.07	$587.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.68 / $507.96 / $2,278.05	Professional	TC	$184.68	$507.96	$2,278.05
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $170.94 / $285.37 / $292.62	Professional	26	$170.94	$285.37	$292.62
United Facility/Professional Professional Modifier Low / Median / High Price $300.38 / $824.46 / $1,933.22	Professional		$300.38	$824.46	$1,933.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.69 / $147.35 / $269.69	Professional	26	$61.69	$147.35	$269.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.88 / $544.26 / $1,598.95	Professional	TC	$197.88	$544.26	$1,598.95