Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $114.82 / $114.82	Facility	26	$102.33	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $933.25	Professional		$218.78	$426.58	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $158.49 / $316.23	Professional	26	$97.72	$158.49	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $346.74 / $758.58	Professional	TC	$281.84	$346.74	$758.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $117.49 / $165.96	Facility	26	$25.12	$117.49	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $977.24 / $4,466.84	Professional		$354.81	$977.24	$4,466.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $144.54 / $501.19	Professional	26	$77.62	$144.54	$501.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $794.33 / $2,398.83	Professional	TC	$269.15	$794.33	$2,398.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $177.83 / $269.15	Professional	26	$162.18	$177.83	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $794.33 / $1,548.82	Professional		$331.13	$794.33	$1,548.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $218.78	Professional	26	$64.57	$120.23	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $645.65 / $1,380.38	Professional	TC	$269.15	$645.65	$1,380.38