Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.67 / $77.73 / $113.98	Facility	26	$70.67	$77.73	$113.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.66 / $400.00 / $522.50	Professional		$194.66	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.67 / $140.00 / $147.58	Professional	26	$70.67	$140.00	$147.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.99 / $281.41 / $368.50	Professional	TC	$123.99	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $191.17 / $402.94	Professional		$97.11	$191.17	$402.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $79.09 / $79.09	Facility	26	$79.09	$79.09	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $494.54 / $2,078.61	Professional		$201.42	$494.54	$2,078.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.12 / $101.10 / $328.68	Professional	26	$60.12	$101.10	$328.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.81 / $385.69 / $1,375.02	Professional	TC	$110.81	$385.69	$1,375.02
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.57 / $149.69 / $185.99	Professional	26	$109.57	$149.69	$185.99
United Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $498.18 / $941.52	Professional		$184.40	$498.18	$941.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.79 / $91.96 / $171.69	Professional	26	$43.79	$91.96	$171.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.71 / $307.48 / $788.26	Professional	TC	$118.71	$307.48	$788.26