Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.46 / $86.47 / $100.48	Facility	26	$86.46	$86.47	$100.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.54 / $193.50 / $235.13	Professional		$179.54	$193.50	$235.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.88 / $92.17 / $177.64	Professional	26	$73.88	$92.17	$177.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.20 / $119.62 / $150.21	Professional	TC	$100.20	$119.62	$150.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $181.67 / $382.91	Professional		$115.95	$181.67	$382.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.15 / $94.15 / $94.15	Facility	26	$94.15	$94.15	$94.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.15 / $319.12 / $871.55	Professional		$160.15	$319.12	$871.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.56 / $119.48 / $381.99	Professional	26	$71.56	$119.48	$381.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.59 / $181.26 / $489.57	Professional	TC	$88.59	$181.26	$489.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.90 / $328.90 / $328.90	Professional		$328.90	$328.90	$328.90
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $129.19 / $142.54 / $220.95	Professional	26	$129.19	$142.54	$220.95
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.68 / $195.68 / $195.68	Professional	TC	$195.68	$195.68	$195.68
United Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $246.58 / $445.92	Professional		$131.36	$246.58	$445.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.32 / $123.68 / $233.17	Professional	26	$56.32	$123.68	$233.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.15 / $145.11 / $267.17	Professional	TC	$68.15	$145.11	$267.17