Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.09 / $74.09 / $74.09	Facility	26	$74.09	$74.09	$74.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.35 / $219.29 / $522.50	Professional		$209.35	$219.29	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.56 / $77.48 / $162.44	Professional	26	$67.56	$77.48	$162.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.25 / $151.72 / $368.50	Professional	TC	$135.25	$151.72	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $85.13 / $85.13	Professional		$85.13	$85.13	$85.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.45 / $86.45 / $86.45	Facility	26	$86.45	$86.45	$86.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.95 / $376.09 / $1,036.78	Professional		$190.95	$376.09	$1,036.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.70 / $109.45 / $350.80	Professional	26	$65.70	$109.45	$350.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.25 / $267.61 / $685.98	Professional	TC	$125.25	$267.61	$685.98
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $130.65 / $130.86 / $200.68	Professional	26	$130.65	$130.86	$200.68
United Facility/Professional Professional Modifier Low / Median / High Price $205.65 / $565.30 / $1,810.71	Professional		$205.65	$565.30	$1,810.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.50 / $98.78 / $187.04	Professional	26	$48.50	$98.78	$187.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.02 / $397.13 / $1,653.80	Professional	TC	$134.02	$397.13	$1,653.80