Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $332.76 / $366.03 / $366.03	Facility	26	$332.76	$366.03	$366.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,349.34 / $1,774.22 / $2,326.09	Professional		$1,349.34	$1,774.22	$2,326.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $332.76 / $399.48 / $900.95	Professional	26	$332.76	$399.48	$900.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,016.58 / $1,397.23 / $1,920.41	Professional	TC	$1,016.58	$1,397.23	$1,920.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $916.36 / $2,784.16 / $3,700.52	Professional		$916.36	$2,784.16	$3,700.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $477.29 / $477.29 / $477.29	Facility	26	$477.29	$477.29	$477.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.93 / $2,234.46 / $8,665.49	Professional		$1,444.93	$2,234.46	$8,665.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $391.16 / $553.33 / $1,981.60	Professional	26	$391.16	$553.33	$1,981.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,308.73 / $1,681.14 / $6,683.85	Professional	TC	$1,308.73	$1,681.14	$6,683.85
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $569.66 / $637.66 / $967.04	Professional	26	$569.66	$637.66	$967.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.45 / $1,923.80 / $3,591.10	Professional		$1,217.45	$1,923.80	$3,591.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $270.41 / $449.59 / $843.03	Professional	26	$270.41	$449.59	$843.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $983.41 / $1,596.73 / $3,602.46	Professional	TC	$983.41	$1,596.73	$3,602.46