Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.02 / $89.02 / $89.02	Facility	26	$89.02	$89.02	$89.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.66 / $253.88 / $477.42	Professional		$250.66	$253.88	$477.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.56 / $91.56 / $183.54	Professional	26	$75.56	$91.56	$183.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.86 / $175.10 / $385.85	Professional	TC	$164.86	$175.10	$385.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $96.18 / $96.18	Professional		$96.18	$96.18	$96.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.17 / $570.24 / $1,755.42	Professional		$264.17	$570.24	$1,755.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.66 / $126.62 / $424.17	Professional	26	$73.66	$126.62	$424.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.51 / $430.73 / $1,285.17	Professional	TC	$190.51	$430.73	$1,285.17
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $183.29 / $222.44 / $222.44	Professional	26	$183.29	$222.44	$222.44
United Facility/Professional Professional Modifier Low / Median / High Price $237.99 / $539.15 / $1,026.34	Professional		$237.99	$539.15	$1,026.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.17 / $110.40 / $209.55	Professional	26	$54.17	$110.40	$209.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.82 / $420.30 / $835.35	Professional	TC	$172.82	$420.30	$835.35