Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	26	$86.12	$86.12	$86.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.31 / $400.00 / $522.50	Professional		$331.31	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.12 / $118.59 / $179.92	Professional	26	$86.12	$118.59	$179.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.19 / $281.41 / $368.50	Professional	TC	$245.19	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.12 / $96.12 / $96.12	Professional		$96.12	$96.12	$96.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.47 / $654.19 / $1,897.05	Professional		$312.47	$654.19	$1,897.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.36 / $125.58 / $394.47	Professional	26	$73.36	$125.58	$394.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.23 / $485.98 / $1,607.02	Professional	TC	$220.23	$485.98	$1,607.02
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $221.56 / $221.56 / $221.56	Professional	26	$221.56	$221.56	$221.56
United Facility/Professional Professional Modifier Low / Median / High Price $215.14 / $517.40 / $1,116.59	Professional		$215.14	$517.40	$1,116.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.75 / $109.36 / $209.38	Professional	26	$53.75	$109.36	$209.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.87 / $436.62 / $969.26	Professional	TC	$215.87	$436.62	$969.26