Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.53 / $69.89 / $100.24	Facility	26	$63.53	$69.89	$100.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.96 / $279.99 / $373.96	Professional		$227.96	$279.99	$373.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.83 / $65.72 / $129.01	Professional	26	$53.83	$65.72	$129.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.42 / $213.52 / $309.89	Professional	TC	$164.42	$213.52	$309.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $244.84 / $469.78	Professional		$84.74	$244.84	$469.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.17 / $443.29 / $1,369.83	Professional		$202.17	$443.29	$1,369.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $88.84 / $290.12	Professional	26	$52.48	$88.84	$290.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.69 / $321.49 / $940.55	Professional	TC	$149.69	$321.49	$940.55
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.68 / $104.57 / $160.54	Professional	26	$95.68	$104.57	$160.54
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $330.63 / $330.63 / $330.63	Professional	TC	$330.63	$330.63	$330.63
United Facility/Professional Professional Modifier Low / Median / High Price $172.86 / $341.41 / $626.15	Professional		$172.86	$341.41	$626.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.20 / $87.90 / $168.95	Professional	26	$41.20	$87.90	$168.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.13 / $273.33 / $505.23	Professional	TC	$127.13	$273.33	$505.23