Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $109.65 / $120.23	Facility	26	$107.15	$109.65	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $831.76	Professional		$275.42	$416.87	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $245.47	Professional	26	$75.86	$112.20	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $309.03 / $524.81	Professional	TC	$208.93	$309.03	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $371.54 / $794.33	Professional		$138.04	$371.54	$794.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $117.49 / $169.82	Facility	26	$25.70	$117.49	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $741.31 / $1,819.70	Professional		$316.23	$741.31	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $147.91 / $478.63	Professional	26	$77.62	$147.91	$478.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $524.81 / $1,412.54	Professional	TC	$229.09	$524.81	$1,412.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $181.97 / $275.42	Professional	26	$165.96	$181.97	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $562.34 / $1,023.29	Professional		$281.84	$562.34	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $123.03 / $223.87	Professional	26	$64.57	$123.03	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $467.74 / $831.76	Professional	TC	$208.93	$467.74	$831.76