Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.94 / $42.83 / $42.83	Facility	26	$38.94	$42.83	$42.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $267.87 / $283.07	Professional		$229.62	$267.87	$283.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.50 / $38.96 / $84.95	Professional	26	$35.50	$38.96	$84.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $231.28 / $240.20	Professional	TC	$192.87	$231.28	$240.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $436.48 / $523.73	Professional		$87.26	$436.48	$523.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.62 / $45.62 / $45.62	Facility	26	$45.62	$45.62	$45.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.73 / $320.02 / $1,234.79	Professional		$214.73	$320.02	$1,234.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.92 / $52.68 / $198.31	Professional	26	$41.92	$52.68	$198.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.82 / $268.13 / $1,049.27	Professional	TC	$172.82	$268.13	$1,049.27
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.55 / $80.55 / $97.76	Professional	26	$80.55	$80.55	$97.76
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $395.65 / $395.65 / $395.65	Professional	TC	$395.65	$395.65	$395.65
United Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $240.25 / $407.72	Professional		$174.74	$240.25	$407.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.81 / $40.44 / $72.67	Professional	26	$28.81	$40.44	$72.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.19 / $199.99 / $340.49	Professional	TC	$141.19	$199.99	$340.49