Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.42 / $63.16 / $90.78	Facility	26	$57.42	$63.16	$90.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.85 / $267.55 / $329.25	Professional		$221.85	$267.55	$329.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $57.42 / $117.22	Professional	26	$49.03	$57.42	$117.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.42 / $215.15 / $270.75	Professional	TC	$164.42	$215.15	$270.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $246.71 / $460.55	Professional		$77.09	$246.71	$460.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.32 / $407.28 / $1,345.95	Professional		$198.32	$407.28	$1,345.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.80 / $80.69 / $266.24	Professional	26	$47.80	$80.69	$266.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $150.52 / $319.89 / $837.06	Professional	TC	$150.52	$319.89	$837.06
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.12 / $145.38 / $147.44	Professional	26	$87.12	$145.38	$147.44
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $326.91 / $326.91 / $326.91	Professional	TC	$326.91	$326.91	$326.91
United Facility/Professional Professional Modifier Low / Median / High Price $154.18 / $340.78 / $613.69	Professional		$154.18	$340.78	$613.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.45 / $79.45 / $153.00	Professional	26	$34.45	$79.45	$153.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.11 / $273.33 / $491.73	Professional	TC	$128.11	$273.33	$491.73