Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.52 / $86.52 / $86.52	Facility	26	$86.52	$86.52	$86.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $400.00 / $494.18	Professional		$330.20	$400.00	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.52 / $118.59 / $140.00	Professional	26	$86.52	$118.59	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.68 / $281.41 / $348.53	Professional	TC	$243.68	$281.41	$348.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $96.56 / $96.56	Professional		$96.56	$96.56	$96.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.37 / $97.37 / $97.37	Facility	26	$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.01 / $651.32 / $2,185.09	Professional		$313.01	$651.32	$2,185.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.95 / $127.19 / $416.83	Professional	26	$73.95	$127.19	$416.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.73 / $484.88 / $1,605.88	Professional	TC	$217.73	$484.88	$1,605.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.22 / $147.22 / $147.22	Professional	26	$147.22	$147.22	$147.22
United Facility/Professional Professional Modifier Low / Median / High Price $257.56 / $567.14 / $1,027.50	Professional		$257.56	$567.14	$1,027.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.72 / $123.16 / $211.04	Professional	26	$53.72	$123.16	$211.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.71 / $453.18 / $862.85	Professional	TC	$215.71	$453.18	$862.85