Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.43 / $113.78 / $168.52	Facility	26	$103.43	$113.78	$168.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.06 / $335.91 / $522.50	Professional		$217.06	$335.91	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.44 / $154.00 / $221.69	Professional	26	$103.44	$154.00	$221.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.47 / $281.41 / $368.50	Professional	TC	$232.47	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.71 / $339.89 / $690.19	Professional		$144.71	$339.89	$690.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $116.17	Facility	26	$116.17	$116.17	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.53 / $953.67 / $4,357.35	Professional		$347.53	$953.67	$4,357.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.29 / $149.52 / $488.44	Professional	26	$88.29	$149.52	$488.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $205.23 / $586.22 / $2,339.46	Professional	TC	$205.23	$586.22	$2,339.46
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.77 / $220.60 / $272.04	Professional	26	$165.77	$220.60	$272.04
United Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $827.76 / $1,795.88	Professional		$305.27	$827.76	$1,795.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.65 / $134.29 / $252.10	Professional	26	$63.65	$134.29	$252.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $221.54 / $603.63 / $1,620.82	Professional	TC	$221.54	$603.63	$1,620.82