Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $97.72 / $97.72	Facility	26	$89.13	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $512.86	Professional		$234.42	$302.00	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $91.20 / $218.78	Professional	26	$60.26	$91.20	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $213.80 / $389.05	Professional	TC	$158.49	$213.80	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $97.72 / $141.25	Facility	26	$20.89	$97.72	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $588.84 / $1,819.70	Professional		$257.04	$588.84	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $457.09	Professional	26	$64.57	$120.23	$457.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $446.68 / $1,412.54	Professional	TC	$186.21	$446.68	$1,412.54
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $147.91 / $229.09	Professional	26	$134.90	$147.91	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $891.25	Professional		$239.88	$501.19	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $104.71 / $186.21	Professional	26	$53.70	$104.71	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $398.11 / $707.95	Professional	TC	$173.78	$398.11	$707.95