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 / $183.88	Facility	26	$110.31	$121.35	$183.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.11 / $424.54 / $522.50	Professional		$317.11	$424.54	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.32 / $231.35 / $235.80	Professional	26	$110.32	$231.35	$235.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.79 / $286.20 / $368.50	Professional	TC	$206.79	$286.20	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $314.18 / $657.73	Professional		$154.22	$314.18	$657.73
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 $295.48 / $799.78 / $4,469.35	Professional		$295.48	$799.78	$4,469.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.43 / $164.13 / $541.67	Professional	26	$94.43	$164.13	$541.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.12 / $506.40 / $2,276.90	Professional	TC	$184.12	$506.40	$2,276.90
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.76 / $235.14 / $292.14	Professional	26	$169.76	$235.14	$292.14
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $565.11 / $1,976.51	Professional		$100.00	$565.11	$1,976.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.03 / $149.97 / $308.45	Professional	26	$70.03	$149.97	$308.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.33 / $515.24 / $1,598.22	Professional	TC	$197.33	$515.24	$1,598.22