Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $105.24 / $219.19	Professional		$100.21	$105.24	$219.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.30 / $74.87 / $97.71	Professional	26	$59.30	$74.87	$97.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.89 / $28.24 / $34.38	Professional	TC	$25.89	$28.24	$34.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $94.70 / $165.29	Professional		$26.85	$94.70	$165.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.92 / $86.92 / $86.92	Facility	26	$86.92	$86.92	$86.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $114.06 / $242.03	Professional		$80.50	$114.06	$242.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.75 / $83.19 / $194.68	Professional	26	$59.75	$83.19	$194.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.63 / $29.29 / $47.35	Professional	TC	$20.63	$29.29	$47.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $137.77 / $219.18	Professional		$132.19	$137.77	$219.18
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $68.28 / $68.28 / $68.28	Professional	52	$68.28	$68.28	$68.28
United Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $88.14 / $151.52	Professional		$68.91	$88.14	$151.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.84 / $69.15 / $120.22	Professional	26	$54.84	$69.15	$120.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.11 / $19.53 / $28.19	Professional	TC	$15.11	$19.53	$28.19