Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.11 / $62.82 / $62.82	Facility	26	$57.11	$62.82	$62.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.75 / $202.83 / $335.06	Professional		$201.75	$202.83	$335.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $58.49 / $117.44	Professional	26	$49.03	$58.49	$117.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.72 / $152.72 / $276.56	Professional	TC	$145.72	$152.72	$276.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $61.67 / $61.67	Professional		$61.67	$61.67	$61.67
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 $174.16 / $386.70 / $1,199.04	Professional		$174.16	$386.70	$1,199.04
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 $126.36 / $273.64 / $834.79	Professional	TC	$126.36	$273.64	$834.79
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.65 / $119.03 / $147.00	Professional	26	$94.65	$119.03	$147.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $316.52 / $557.40	Professional		$152.91	$316.52	$557.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.58 / $70.87 / $134.91	Professional	26	$34.58	$70.87	$134.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.13 / $251.38 / $448.50	Professional	TC	$112.13	$251.38	$448.50