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 / $200.96	Facility	26	$110.31	$121.35	$200.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.32 / $475.00 / $522.50	Professional		$318.32	$475.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.32 / $228.09 / $235.80	Professional	26	$110.32	$228.09	$235.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.00 / $335.00 / $368.50	Professional	TC	$208.00	$335.00	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $316.12 / $660.30	Professional		$154.22	$316.12	$660.30
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 $296.58 / $802.64 / $4,515.26	Professional		$296.58	$802.64	$4,515.26
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 $185.24 / $509.53 / $2,144.96	Professional	TC	$185.24	$509.53	$2,144.96
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $172.11 / $285.37 / $292.14	Professional	26	$172.11	$285.37	$292.14
United Facility/Professional Professional Modifier Low / Median / High Price $290.91 / $760.45 / $1,912.60	Professional		$290.91	$760.45	$1,912.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.34 / $157.07 / $269.69	Professional	26	$68.34	$157.07	$269.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.44 / $647.58 / $1,541.35	Professional	TC	$198.44	$647.58	$1,541.35