Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.35 / $91.35 / $91.35	Facility	26	$91.35	$91.35	$91.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $169.55 / $299.29	Professional		$151.61	$169.55	$299.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $80.84 / $100.48	Professional	26	$56.82	$80.84	$100.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.79 / $76.38 / $232.83	Professional	TC	$62.79	$76.38	$232.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Professional		$71.95	$71.95	$71.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.26 / $105.26 / $105.26	Facility	26	$105.26	$105.26	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $363.10 / $2,287.92	Professional		$132.05	$363.10	$2,287.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $123.36 / $425.65	Professional	26	$68.56	$123.36	$425.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.65 / $167.93 / $815.00	Professional	TC	$56.65	$167.93	$815.00
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $158.72 / $158.90 / $166.85	Professional	26	$158.72	$158.90	$166.85
United Facility/Professional Professional Modifier Low / Median / High Price $149.32 / $340.19 / $770.60	Professional		$149.32	$340.19	$770.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.83 / $91.83 / $175.72	Professional	26	$51.83	$91.83	$175.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.33 / $162.74 / $658.47	Professional	TC	$62.33	$162.74	$658.47