Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $81.28 / $81.28	Facility	26	$74.13	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $478.63	Professional		$186.21	$234.42	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $77.62 / $162.18	Professional	26	$64.57	$77.62	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $158.49 / $338.84	Professional	TC	$123.03	$158.49	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $85.11 / $123.03	Facility	26	$18.62	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $1,047.13	Professional		$190.55	$354.81	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $107.15 / $354.81	Professional	26	$56.23	$107.15	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $229.09 / $691.83	Professional	TC	$125.89	$229.09	$691.83
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $131.83 / $199.53	Professional	26	$131.83	$131.83	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $501.19 / $1,513.56	Professional		$199.53	$501.19	$1,513.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $89.13 / $162.18	Professional	26	$47.86	$89.13	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $389.05 / $1,348.96	Professional	TC	$128.82	$389.05	$1,348.96