Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.78 / $60.78 / $60.78	Facility	26	$60.78	$60.78	$60.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.58 / $196.96 / $353.52	Professional		$194.58	$196.96	$353.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.08 / $52.78 / $62.45	Professional	26	$51.08	$52.78	$62.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.18 / $143.50 / $298.10	Professional	TC	$136.18	$143.50	$298.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $64.33 / $64.33	Professional		$64.33	$64.33	$64.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.79 / $378.70 / $1,450.61	Professional		$196.79	$378.70	$1,450.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.88 / $85.04 / $279.11	Professional	26	$49.88	$85.04	$279.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $331.88 / $1,113.43	Professional	TC	$119.70	$331.88	$1,113.43
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.86 / $90.86 / $90.86	Professional	26	$90.86	$90.86	$90.86
United Facility/Professional Professional Modifier Low / Median / High Price $182.85 / $391.52 / $963.47	Professional		$182.85	$391.52	$963.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $85.78 / $161.19	Professional	26	$39.22	$85.78	$161.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.24 / $219.67 / $593.94	Professional	TC	$128.24	$219.67	$593.94