Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.75 / $129.52 / $129.52	Facility	26	$117.75	$129.52	$129.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $335.52 / $409.55	Professional		$275.45	$335.52	$409.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.35 / $117.75 / $243.91	Professional	26	$100.35	$117.75	$243.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.67 / $235.21 / $292.83	Professional	TC	$164.67	$235.21	$292.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.77 / $316.27 / $666.63	Professional		$159.77	$316.27	$666.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.94 / $128.94 / $128.94	Facility	26	$128.94	$128.94	$128.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.18 / $654.49 / $1,534.16	Professional		$280.18	$654.49	$1,534.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.00 / $161.50 / $525.42	Professional	26	$98.00	$161.50	$525.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.18 / $476.47 / $1,008.73	Professional	TC	$182.18	$476.47	$1,008.73
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $178.52 / $296.00 / $303.02	Professional	26	$178.52	$296.00	$303.02
United Facility/Professional Professional Modifier Low / Median / High Price $284.17 / $689.50 / $1,270.25	Professional		$284.17	$689.50	$1,270.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.36 / $146.44 / $275.56	Professional	26	$70.36	$146.44	$275.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.11 / $415.97 / $1,023.07	Professional	TC	$189.11	$415.97	$1,023.07