Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $758.58	Professional		$331.13	$426.58	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $117.49 / $275.42	Professional	26	$85.11	$117.49	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $323.59 / $562.34	Professional	TC	$245.47	$323.59	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $97.72 / $138.04	Facility	26	$20.89	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $724.44 / $2,238.72	Professional		$288.40	$724.44	$2,238.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $426.58	Professional	26	$64.57	$120.23	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $602.56 / $1,659.59	Professional	TC	$218.78	$602.56	$1,659.59
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	26	$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $549.54 / $977.24	Professional		$263.03	$549.54	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $100.00 / $181.97	Professional	26	$53.70	$100.00	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $446.68 / $812.83	Professional	TC	$199.53	$446.68	$812.83