Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $194.98 / $194.98	Facility	26	$177.83	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $776.25	Professional		$371.54	$489.78	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $234.42 / $478.63	Professional	26	$190.55	$234.42	$478.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $251.19 / $426.58	Professional	TC	$186.21	$251.19	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,000.00	Professional		$501.19	$501.19	$1,000.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $257.04 / $371.54	Facility	26	$54.95	$257.04	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,202.26 / $2,238.72	Professional		$489.78	$1,202.26	$2,238.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $549.54 / $1,071.52	Professional	26	$239.88	$549.54	$1,071.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $645.65 / $1,174.90	Professional	TC	$245.47	$645.65	$1,174.90
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $512.86 / $524.81	Professional	26	$316.23	$512.86	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $776.25	Professional		$323.59	$446.68	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $208.93 / $371.54	Professional	26	$147.91	$208.93	$371.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $239.88 / $426.58	Professional	TC	$162.18	$239.88	$426.58