Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.26 / $93.78 / $93.78	Facility	26	$85.26	$93.78	$93.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $171.34 / $216.84	Professional		$106.05	$171.34	$216.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.26 / $96.51 / $225.77	Professional	26	$85.26	$96.51	$225.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.79 / $72.90 / $109.05	Professional	TC	$20.79	$72.90	$109.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $232.65 / $309.00	Professional		$76.36	$232.65	$309.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.50 / $121.50 / $121.50	Facility	26	$121.50	$121.50	$121.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $372.77 / $2,242.03	Professional		$159.91	$372.77	$2,242.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.52 / $140.47 / $722.52	Professional	26	$102.52	$140.47	$722.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.51 / $50.07 / $720.00	Professional	TC	$39.51	$50.07	$720.00
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $151.12 / $176.00 / $245.76	Professional	26	$151.12	$176.00	$245.76
United Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $224.03 / $763.11	Professional		$116.19	$224.03	$763.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.17 / $119.61 / $221.20	Professional	26	$71.17	$119.61	$221.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $129.13 / $600.38	Professional	TC	$20.17	$129.13	$600.38