Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.33 / $116.96 / $116.96	Facility	26	$106.33	$116.96	$116.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $367.56 / $522.50	Professional		$328.00	$367.56	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.17 / $140.00 / $236.54	Professional	26	$97.17	$140.00	$236.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $221.67 / $255.48 / $368.50	Professional	TC	$221.67	$255.48	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.71 / $345.40 / $702.42	Professional		$154.71	$345.40	$702.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.62 / $124.62 / $124.62	Facility	26	$124.62	$124.62	$124.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.57 / $596.30 / $1,623.04	Professional		$298.57	$596.30	$1,623.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.73 / $156.50 / $508.27	Professional	26	$94.73	$156.50	$508.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.84 / $439.60 / $1,114.77	Professional	TC	$203.84	$439.60	$1,114.77
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $188.70 / $290.77 / $293.99	Professional	26	$188.70	$290.77	$293.99
United Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $686.53 / $1,856.99	Professional		$215.87	$686.53	$1,856.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.56 / $112.60 / $223.36	Professional	26	$50.56	$112.60	$223.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.98 / $599.46 / $1,692.56	Professional	TC	$220.98	$599.46	$1,692.56