Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.87 / $136.25 / $136.25	Facility	26	$123.87	$136.25	$136.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.49 / $475.00 / $522.50	Professional		$365.49	$475.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.59 / $140.00 / $263.19	Professional	26	$118.59	$140.00	$263.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $241.62 / $324.27 / $368.50	Professional	TC	$241.62	$324.27	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $355.94 / $741.37	Professional		$172.40	$355.94	$741.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.38 / $139.38 / $139.38	Facility	26	$139.38	$139.38	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $704.23 / $2,594.53	Professional		$317.00	$704.23	$2,594.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.94 / $178.14 / $567.51	Professional	26	$105.94	$178.14	$567.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.06 / $572.19 / $1,761.70	Professional	TC	$211.06	$572.19	$1,761.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $192.96 / $210.90 / $324.05	Professional	26	$192.96	$210.90	$324.05
United Facility/Professional Professional Modifier Low / Median / High Price $247.39 / $699.55 / $1,356.24	Professional		$247.39	$699.55	$1,356.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.45 / $180.54 / $353.56	Professional	26	$86.45	$180.54	$353.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $228.78 / $585.72 / $1,076.46	Professional	TC	$228.78	$585.72	$1,076.46