Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.78 / $60.78 / $60.78	Facility	26	$60.78	$60.78	$60.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.33 / $226.84 / $423.46	Professional		$225.33	$226.84	$423.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.41 / $60.78 / $121.84	Professional	26	$51.41	$60.78	$121.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.55 / $175.43 / $362.21	Professional	TC	$164.55	$175.43	$362.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $64.67 / $64.67	Professional		$64.67	$64.67	$64.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.73 / $481.75 / $1,617.71	Professional		$218.73	$481.75	$1,617.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.88 / $85.04 / $279.11	Professional	26	$49.88	$85.04	$279.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.85 / $363.20 / $1,108.86	Professional	TC	$168.85	$363.20	$1,108.86
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.31 / $99.31 / $99.31	Professional	26	$99.31	$99.31	$99.31
United Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $417.09 / $787.03	Professional		$197.08	$417.09	$787.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.39 / $74.93 / $142.53	Professional	26	$36.39	$74.93	$142.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.88 / $330.39 / $608.30	Professional	TC	$148.88	$330.39	$608.30