Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.51 / $116.06 / $176.72	Facility	26	$105.51	$116.06	$176.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.77 / $449.60 / $522.50	Professional		$336.77	$449.60	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.05 / $154.00 / $225.47	Professional	26	$99.05	$154.00	$225.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.26 / $317.20 / $368.50	Professional	TC	$231.26	$317.20	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.54 / $341.02 / $692.64	Professional		$147.54	$341.02	$692.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.86 / $118.86 / $118.86	Facility	26	$118.86	$118.86	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.60 / $976.60 / $4,388.57	Professional		$348.60	$976.60	$4,388.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.34 / $157.52 / $514.15	Professional	26	$90.34	$157.52	$514.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.12 / $584.26 / $2,342.87	Professional	TC	$204.12	$584.26	$2,342.87
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $162.44 / $224.92 / $279.44	Professional	26	$162.44	$224.92	$279.44
United Facility/Professional Professional Modifier Low / Median / High Price $307.48 / $805.52 / $1,808.11	Professional		$307.48	$805.52	$1,808.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.09 / $141.66 / $254.98	Professional	26	$65.09	$141.66	$254.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.08 / $575.58 / $1,623.95	Professional	TC	$213.08	$575.58	$1,623.95