Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.22 / $102.54 / $102.54	Facility	26	$93.22	$102.54	$102.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $322.86 / $482.09	Professional		$254.55	$322.86	$482.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.45 / $91.52 / $193.61	Professional	26	$79.45	$91.52	$193.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.67 / $224.35 / $385.85	Professional	TC	$164.67	$224.35	$385.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.96 / $101.96 / $101.96	Facility	26	$101.96	$101.96	$101.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.20 / $626.34 / $1,641.14	Professional		$280.20	$626.34	$1,641.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.47 / $133.03 / $446.21	Professional	26	$77.47	$133.03	$446.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $202.73 / $441.16 / $1,331.78	Professional	TC	$202.73	$441.16	$1,331.78
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.11 / $467.92 / $479.02	Professional	26	$141.11	$467.92	$479.02
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $786.48 / $786.48 / $786.48	Professional	TC	$786.48	$786.48	$786.48
United Facility/Professional Professional Modifier Low / Median / High Price $247.61 / $541.88 / $965.84	Professional		$247.61	$541.88	$965.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.01 / $118.05 / $221.10	Professional	26	$56.01	$118.05	$221.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.54 / $422.09 / $765.26	Professional	TC	$153.54	$422.09	$765.26