Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.81 / $116.39 / $176.72	Facility	26	$105.81	$116.39	$176.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.16 / $447.83 / $522.50	Professional		$336.16	$447.83	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.81 / $140.00 / $221.49	Professional	26	$105.81	$140.00	$221.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.35 / $315.43 / $368.50	Professional	TC	$230.35	$315.43	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.54 / $339.70 / $690.04	Professional		$147.54	$339.70	$690.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.86 / $118.86 / $118.86	Facility	26	$118.86	$118.86	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.98 / $976.24 / $4,388.57	Professional		$347.98	$976.24	$4,388.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.34 / $157.61 / $514.15	Professional	26	$90.34	$157.61	$514.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.01 / $582.30 / $2,340.59	Professional	TC	$203.01	$582.30	$2,340.59
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $164.63 / $224.92 / $278.20	Professional	26	$164.63	$224.92	$278.20
United Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $808.49 / $1,807.38	Professional		$307.02	$808.49	$1,807.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.25 / $137.38 / $254.98	Professional	26	$67.25	$137.38	$254.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.88 / $574.12 / $1,623.22	Professional	TC	$219.88	$574.12	$1,623.22