Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.76 / $72.33 / $104.82	Facility	26	$65.76	$72.33	$104.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $400.00 / $522.50	Professional		$135.44	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.76 / $135.44 / $154.00	Professional	26	$65.76	$135.44	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.88 / $335.00 / $368.50	Professional	TC	$205.88	$335.00	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $339.41 / $609.32	Professional		$90.30	$339.41	$609.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $578.16 / $2,045.55	Professional		$284.25	$578.16	$2,045.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.99 / $94.02 / $304.82	Professional	26	$55.99	$94.02	$304.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.18 / $466.13 / $1,558.11	Professional	TC	$207.18	$466.13	$1,558.11
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.09 / $139.47 / $171.31	Professional	26	$102.09	$139.47	$171.31
United Facility/Professional Professional Modifier Low / Median / High Price $235.73 / $511.88 / $957.64	Professional		$235.73	$511.88	$957.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.29 / $81.48 / $157.90	Professional	26	$38.29	$81.48	$157.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $209.72 / $434.71 / $838.89	Professional	TC	$209.72	$434.71	$838.89