Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.15 / $71.66 / $105.30	Facility	26	$65.15	$71.66	$105.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $400.00 / $494.18	Professional		$104.60	$400.00	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.15 / $135.97 / $274.44	Professional	26	$65.15	$135.97	$274.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $156.21 / $281.41 / $368.50	Professional	TC	$156.21	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $227.98 / $454.46	Professional		$89.88	$227.98	$454.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.30 / $504.83 / $2,045.55	Professional		$229.30	$504.83	$2,045.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.44 / $94.02 / $304.82	Professional	26	$55.44	$94.02	$304.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.86 / $439.40 / $1,526.28	Professional	TC	$138.86	$439.40	$1,526.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.02 / $138.02 / $171.47	Professional	26	$101.02	$138.02	$171.47
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $394.85 / $938.68	Professional		$100.00	$394.85	$938.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.14 / $95.87 / $177.46	Professional	26	$40.14	$95.87	$177.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.90 / $388.78 / $821.67	Professional	TC	$148.90	$388.78	$821.67