Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.68 / $65.65 / $92.98	Facility	26	$59.68	$65.65	$92.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $155.88 / $274.81	Professional		$134.47	$155.88	$274.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.22 / $59.69 / $120.28	Professional	26	$50.22	$59.69	$120.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.94 / $95.62 / $214.94	Professional	TC	$79.94	$95.62	$214.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $134.13 / $282.74	Professional		$78.95	$134.13	$282.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.44 / $64.44 / $64.44	Facility	26	$64.44	$64.44	$64.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $280.39 / $1,165.98	Professional		$119.24	$280.39	$1,165.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $82.86 / $273.60	Professional	26	$48.98	$82.86	$273.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.26 / $179.95 / $671.02	Professional	TC	$70.26	$179.95	$671.02
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.23 / $97.56 / $148.00	Professional	26	$87.23	$97.56	$148.00
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.47 / $147.47 / $147.47	Professional	TC	$147.47	$147.47	$147.47
United Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $274.20 / $527.54	Professional		$113.16	$274.20	$527.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.45 / $74.88 / $139.26	Professional	26	$26.45	$74.88	$139.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.98 / $181.18 / $407.16	Professional	TC	$69.98	$181.18	$407.16