Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.39 / $80.72 / $80.72	Facility	26	$73.39	$80.72	$80.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $141.47 / $179.34	Professional		$133.16	$141.47	$179.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.54 / $73.39 / $149.97	Professional	26	$52.54	$73.39	$149.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.28 / $71.09 / $119.76	Professional	TC	$67.28	$71.09	$119.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $130.30 / $263.06	Professional		$72.17	$130.30	$263.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.31 / $79.31 / $79.31	Facility	26	$79.31	$79.31	$79.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $190.81 / $1,186.70	Professional		$105.52	$190.81	$1,186.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.55 / $91.49 / $321.16	Professional	26	$55.55	$91.49	$321.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.76 / $105.84 / $444.69	Professional	TC	$53.76	$105.84	$444.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.21 / $112.21 / $112.21	Professional		$112.21	$112.21	$112.21
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.94 / $117.42 / $179.28	Professional	26	$104.94	$117.42	$179.28
United Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $232.10 / $487.64	Professional		$84.55	$232.10	$487.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.78 / $70.54 / $151.58	Professional	26	$34.78	$70.54	$151.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.68 / $117.50 / $362.65	Professional	TC	$50.68	$117.50	$362.65