Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.89 / $124.89 / $124.89	Facility	26	$124.89	$124.89	$124.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.82 / $355.11 / $401.77	Professional		$322.82	$355.11	$401.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.54 / $295.23 / $583.47	Professional	26	$113.54	$295.23	$583.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $209.29 / $257.38 / $273.47	Professional	TC	$209.29	$257.38	$273.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $399.42 / $861.86	Professional		$194.49	$399.42	$861.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.40 / $251.40 / $251.40	Facility	26	$251.40	$251.40	$251.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.84 / $208.67 / $682.34	Professional		$158.84	$208.67	$682.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.08 / $71.76 / $241.86	Professional	26	$63.08	$71.76	$241.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.08 / $138.90 / $440.48	Professional	TC	$87.08	$138.90	$440.48
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $167.36 / $177.95 / $268.08	Professional	26	$167.36	$177.95	$268.08
United Facility/Professional Professional Modifier Low / Median / High Price $182.34 / $248.35 / $594.77	Professional		$182.34	$248.35	$594.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.29 / $122.33 / $213.72	Professional	26	$80.29	$122.33	$213.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.15 / $141.66 / $329.96	Professional	TC	$82.15	$141.66	$329.96