Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $95.50 / $95.50	Facility	26	$85.11	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $501.19	Professional		$213.80	$275.42	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $218.78	Professional	26	$64.57	$104.71	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $186.21 / $295.12	Professional	TC	$138.04	$186.21	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $93.33 / $134.90	Facility	26	$19.95	$93.33	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $1,096.48	Professional		$199.53	$380.19	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $114.82 / $380.19	Professional	26	$61.66	$114.82	$380.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $245.47 / $707.95	Professional	TC	$125.89	$245.47	$707.95
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $141.25 / $218.78	Professional	26	$128.82	$141.25	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $549.54	Professional		$162.18	$302.00	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $97.72 / $177.83	Professional	26	$50.12	$97.72	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $208.93 / $380.19	Professional	TC	$107.15	$208.93	$380.19