Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.12 / $94.73 / $94.73	Facility	26	$86.12	$94.73	$94.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.92 / $400.00 / $522.50	Professional		$331.92	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.12 / $118.59 / $154.00	Professional	26	$86.12	$118.59	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.80 / $281.41 / $368.50	Professional	TC	$245.80	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $95.78 / $95.78	Professional		$95.78	$95.78	$95.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.13 / $651.12 / $2,179.59	Professional		$314.13	$651.12	$2,179.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.36 / $125.58 / $413.16	Professional	26	$73.36	$125.58	$413.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.12 / $489.29 / $1,602.48	Professional	TC	$219.12	$489.29	$1,602.48
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $223.17 / $223.17 / $223.17	Professional	26	$223.17	$223.17	$223.17
United Facility/Professional Professional Modifier Low / Median / High Price $257.49 / $576.38 / $1,116.59	Professional		$257.49	$576.38	$1,116.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.75 / $109.57 / $208.70	Professional	26	$53.75	$109.57	$208.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.25 / $455.92 / $861.00	Professional	TC	$215.25	$455.92	$861.00