Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.62 / $99.69 / $299.19	Facility	26	$90.62	$99.69	$299.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.57 / $341.58 / $2,856.66	Professional		$305.57	$341.58	$2,856.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.16 / $99.69 / $186.82	Professional	26	$77.16	$99.69	$186.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.35 / $230.22 / $286.63	Professional	TC	$220.35	$230.22	$286.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $309.42 / $617.16	Professional		$122.37	$309.42	$617.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.40 / $98.40 / $98.40	Facility	26	$98.40	$98.40	$98.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.36 / $489.62 / $1,432.79	Professional		$263.36	$489.62	$1,432.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.79 / $125.30 / $402.23	Professional	26	$74.79	$125.30	$402.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.57 / $345.34 / $1,030.56	Professional	TC	$188.57	$345.34	$1,030.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.64 / $545.64 / $545.64	Professional		$545.64	$545.64	$545.64
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $136.30 / $149.82 / $231.35	Professional	26	$136.30	$149.82	$231.35
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $403.03 / $403.03 / $416.51	Professional	TC	$403.03	$403.03	$416.51
United Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $425.91 / $707.90	Professional		$192.27	$425.91	$707.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $119.14 / $213.29	Professional	26	$54.87	$119.14	$213.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.28 / $295.38 / $568.67	Professional	TC	$133.28	$295.38	$568.67