Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.27 / $39.89 / $39.89	Facility	26	$36.27	$39.89	$39.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $282.76 / $311.04	Professional		$251.87	$282.76	$311.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.84 / $38.67 / $79.98	Professional	26	$32.84	$38.67	$79.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $247.61 / $272.37	Professional	TC	$218.71	$247.61	$272.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $504.72 / $585.41	Professional		$80.70	$504.72	$585.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.12 / $42.12 / $42.12	Facility	26	$42.12	$42.12	$42.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.83 / $357.97 / $1,384.50	Professional		$216.83	$357.97	$1,384.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.78 / $48.73 / $179.94	Professional	26	$37.78	$48.73	$179.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.05 / $310.00 / $1,213.00	Professional	TC	$179.05	$310.00	$1,213.00
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.40 / $74.40 / $90.30	Professional	26	$74.40	$74.40	$90.30
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $457.01 / $457.01 / $457.01	Professional	TC	$457.01	$457.01	$457.01
United Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $269.69 / $518.10	Professional		$183.28	$269.69	$518.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.11 / $36.60 / $81.87	Professional	26	$26.11	$36.60	$81.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.68 / $219.90 / $389.69	Professional	TC	$142.68	$219.90	$389.69