Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.25 / $128.97 / $191.21	Facility	26	$117.25	$128.97	$191.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.47 / $348.09 / $507.59	Professional		$274.47	$348.09	$507.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.37 / $121.89 / $239.41	Professional	26	$99.37	$121.89	$239.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.55 / $224.56 / $385.70	Professional	TC	$164.55	$224.56	$385.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $429.30 / $839.59	Professional		$158.72	$429.30	$839.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.28 / $128.28 / $128.28	Facility	26	$128.28	$128.28	$128.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.27 / $796.65 / $1,897.05	Professional		$356.27	$796.65	$1,897.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.44 / $168.66 / $567.40	Professional	26	$97.44	$168.66	$567.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $258.83 / $557.54 / $1,503.53	Professional	TC	$258.83	$557.54	$1,503.53
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $174.46 / $185.70 / $297.91	Professional	26	$174.46	$185.70	$297.91
United Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $716.02 / $1,239.60	Professional		$285.83	$716.02	$1,239.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $147.43 / $276.24	Professional	26	$72.87	$147.43	$276.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.25 / $608.09 / $1,076.38	Professional	TC	$231.25	$608.09	$1,076.38