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 / $400.00 / $522.50	Professional		$217.06	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.44 / $140.00 / $217.67	Professional	26	$103.44	$140.00	$217.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.41 / $335.00 / $381.40	Professional	TC	$281.41	$335.00	$381.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.71 / $403.54 / $781.98	Professional		$144.71	$403.54	$781.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.52 / $116.52 / $116.52	Facility	26	$116.52	$116.52	$116.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.77 / $957.78 / $4,353.67	Professional		$366.77	$957.78	$4,353.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.57 / $150.44 / $488.44	Professional	26	$88.57	$150.44	$488.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $246.61 / $674.26 / $2,218.91	Professional	TC	$246.61	$674.26	$2,218.91
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $176.43 / $220.54 / $274.00	Professional	26	$176.43	$220.54	$274.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.73 / $916.68 / $1,744.85	Professional		$352.73	$916.68	$1,744.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.83 / $128.62 / $252.93	Professional	26	$63.83	$128.62	$252.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.17 / $702.76 / $1,569.06	Professional	TC	$260.17	$702.76	$1,569.06