Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.93 / $59.33 / $85.82	Facility	26	$53.93	$59.33	$85.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $152.22 / $271.06	Professional		$131.29	$152.22	$271.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.04 / $54.56 / $112.16	Professional	26	$46.04	$54.56	$112.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.87 / $96.05 / $216.49	Professional	TC	$80.87	$96.05	$216.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $130.57 / $275.22	Professional		$72.44	$130.57	$275.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.04 / $59.04 / $59.04	Facility	26	$59.04	$59.04	$59.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $272.56 / $1,182.53	Professional		$115.97	$272.56	$1,182.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.87 / $75.87 / $249.72	Professional	26	$44.87	$75.87	$249.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.09 / $182.81 / $678.98	Professional	TC	$71.09	$182.81	$678.98
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.78 / $135.59 / $137.97	Professional	26	$81.78	$135.59	$137.97
United Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $284.08 / $528.38	Professional		$115.68	$284.08	$528.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.65 / $66.70 / $126.81	Professional	26	$32.65	$66.70	$126.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.11 / $205.54 / $422.16	Professional	TC	$71.11	$205.54	$422.16