Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.13 / $197.04 / $197.04	Facility	26	$179.13	$197.04	$197.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.76 / $437.89 / $517.91	Professional		$347.76	$437.89	$517.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $179.13 / $215.06 / $483.89	Professional	26	$179.13	$215.06	$483.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.62 / $235.68 / $297.79	Professional	TC	$168.62	$235.68	$297.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.83 / $490.65 / $975.74	Professional		$313.83	$490.65	$975.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $256.39 / $256.39 / $256.39	Facility	26	$256.39	$256.39	$256.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.46 / $589.17 / $2,224.82	Professional		$497.46	$589.17	$2,224.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $241.13 / $296.27 / $1,061.75	Professional	26	$241.13	$296.27	$1,061.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.07 / $292.91 / $1,163.07	Professional	TC	$251.07	$292.91	$1,163.07
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $306.04 / $352.78 / $519.47	Professional	26	$306.04	$352.78	$519.47
United Facility/Professional Professional Modifier Low / Median / High Price $355.71 / $561.79 / $935.29	Professional		$355.71	$561.79	$935.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $157.82 / $261.67 / $477.05	Professional	26	$157.82	$261.67	$477.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.59 / $260.55 / $458.24	Professional	TC	$183.59	$260.55	$458.24