Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.74 / $54.71 / $85.35	Facility	26	$49.74	$54.71	$85.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $102.79 / $247.65	Professional		$98.89	$102.79	$247.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $51.45 / $101.86	Professional	26	$43.82	$51.45	$101.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.18 / $97.20 / $221.14	Professional	TC	$81.18	$97.20	$221.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $126.90 / $267.45	Professional		$66.17	$126.90	$267.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $263.52 / $1,031.94	Professional		$130.71	$263.52	$1,031.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.06 / $71.90 / $249.72	Professional	26	$41.06	$71.90	$249.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.65 / $199.51 / $676.70	Professional	TC	$71.65	$199.51	$676.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.83 / $124.08 / $149.66	Professional	26	$74.83	$124.08	$149.66
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.26 / $158.26 / $158.26	Professional	TC	$158.26	$158.26	$158.26
United Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $241.98 / $470.39	Professional		$112.10	$241.98	$470.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.45 / $70.58 / $143.86	Professional	26	$32.45	$70.58	$143.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $192.92 / $363.58	Professional	TC	$79.23	$192.92	$363.58