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 / $400.00 / $522.50	Professional		$217.06	$400.00	$522.50
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 / $282.44 / $382.73	Professional	TC	$281.41	$282.44	$382.73
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 $116.87 / $116.87 / $116.87	Facility	26	$116.87	$116.87	$116.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.39 / $958.14 / $4,353.67	Professional		$365.39	$958.14	$4,353.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.84 / $150.44 / $488.44	Professional	26	$88.84	$150.44	$488.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.72 / $676.60 / $2,225.71	Professional	TC	$247.72	$676.60	$2,225.71
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $168.21 / $177.06 / $275.06	Professional	26	$168.21	$177.06	$275.06
United Facility/Professional Professional Modifier Low / Median / High Price $340.63 / $918.12 / $1,744.85	Professional		$340.63	$918.12	$1,744.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.85 / $130.47 / $253.76	Professional	26	$63.85	$130.47	$253.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.70 / $704.22 / $1,569.79	Professional	TC	$260.70	$704.22	$1,569.79