Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.65 / $83.65 / $83.65	Facility	26	$83.65	$83.65	$83.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $402.61 / $522.50	Professional		$299.83	$402.61	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.65 / $118.59 / $154.00	Professional	26	$83.65	$118.59	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $216.18 / $299.04 / $368.50	Professional	TC	$216.18	$299.04	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $92.04 / $92.04	Professional		$92.04	$92.04	$92.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.79 / $613.87 / $2,486.23	Professional		$312.79	$613.87	$2,486.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.98 / $121.24 / $392.96	Professional	26	$70.98	$121.24	$392.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.90 / $529.61 / $1,854.96	Professional	TC	$191.90	$529.61	$1,854.96
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.38 / $141.38 / $219.57	Professional	26	$141.38	$141.38	$219.57
United Facility/Professional Professional Modifier Low / Median / High Price $275.50 / $596.72 / $1,153.40	Professional		$275.50	$596.72	$1,153.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.57 / $103.43 / $202.76	Professional	26	$38.57	$103.43	$202.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.35 / $459.77 / $1,134.38	Professional	TC	$207.35	$459.77	$1,134.38