Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.74 / $114.11 / $114.11	Facility	26	$103.74	$114.11	$114.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.06 / $407.99 / $544.79	Professional		$217.06	$407.99	$544.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.74 / $140.00 / $220.92	Professional	26	$103.74	$140.00	$220.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $304.25 / $414.96	Professional	TC	$281.41	$304.25	$414.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.45 / $970.62 / $4,357.35	Professional		$389.45	$970.62	$4,357.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.57 / $149.52 / $488.44	Professional	26	$88.57	$149.52	$488.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $267.44 / $734.02 / $2,340.59	Professional	TC	$267.44	$734.02	$2,340.59
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $161.41 / $177.11 / $272.04	Professional	26	$161.41	$177.11	$272.04
United Facility/Professional Professional Modifier Low / Median / High Price $356.31 / $1,009.80 / $1,798.79	Professional		$356.31	$1,009.80	$1,798.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.05 / $139.65 / $250.02	Professional	26	$64.05	$139.65	$250.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.27 / $753.56 / $1,623.00	Professional	TC	$281.27	$753.56	$1,623.00