Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.16 / $87.07 / $87.07	Facility	26	$79.16	$87.07	$87.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $400.00 / $522.50	Professional		$126.48	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.16 / $140.00 / $167.40	Professional	26	$79.16	$140.00	$167.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.23 / $335.00 / $368.50	Professional	TC	$232.23	$335.00	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $335.20 / $631.24	Professional		$108.23	$335.20	$631.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.30 / $88.30 / $88.30	Facility	26	$88.30	$88.30	$88.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.73 / $601.82 / $2,456.87	Professional		$294.73	$601.82	$2,456.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.14 / $113.29 / $367.25	Professional	26	$67.14	$113.29	$367.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.95 / $502.31 / $1,593.37	Professional	TC	$204.95	$502.31	$1,593.37
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.40 / $167.23 / $207.76	Professional	26	$122.40	$167.23	$207.76
United Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $590.11 / $1,107.72	Professional		$245.70	$590.11	$1,107.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.83 / $94.54 / $191.24	Professional	26	$48.83	$94.54	$191.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.30 / $517.51 / $1,018.52	Professional	TC	$214.30	$517.51	$1,018.52