Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $66.07 / $93.33	Facility	26	$58.88	$66.07	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $331.13	Professional		$123.03	$173.78	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $151.36	Professional	26	$52.48	$83.18	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $112.20 / $223.87	Professional	TC	$75.86	$112.20	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $295.12	Professional		$70.79	$125.89	$295.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $64.57 / $91.20	Facility	26	$13.80	$64.57	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $295.12 / $1,202.26	Professional		$117.49	$295.12	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $79.43 / $281.84	Professional	26	$42.66	$79.43	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $194.98 / $691.83	Professional	TC	$69.18	$194.98	$691.83
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $97.72 / $147.91	Professional	26	$89.13	$97.72	$147.91
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	TC	$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $251.19 / $457.09	Professional		$112.20	$251.19	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $66.07 / $123.03	Professional	26	$35.48	$66.07	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $162.18 / $346.74	Professional	TC	$67.61	$162.18	$346.74