Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.15 / $60.67 / $144.13	Facility	26	$55.15	$60.67	$144.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.77 / $270.61 / $520.78	Professional		$244.77	$270.61	$520.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.57 / $102.33 / $119.75	Professional	26	$51.57	$102.33	$119.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $189.61 / $232.76	Professional	TC	$162.34	$189.61	$232.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $240.50 / $521.15	Professional		$61.88	$240.50	$521.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.58 / $62.58 / $62.58	Facility	26	$62.58	$62.58	$62.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.08 / $342.58 / $712.29	Professional		$240.08	$342.58	$712.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.22 / $77.34 / $162.83	Professional	26	$51.22	$77.34	$162.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.14 / $268.45 / $549.47	Professional	TC	$187.14	$268.45	$549.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.51 / $704.31 / $708.03	Professional		$453.51	$704.31	$708.03
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.97 / $117.95 / $146.09	Professional	26	$55.97	$117.95	$146.09
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $368.63 / $377.42 / $387.07	Professional	TC	$368.63	$377.42	$387.07
United Facility/Professional Professional Modifier Low / Median / High Price $224.87 / $357.17 / $664.14	Professional		$224.87	$357.17	$664.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.91 / $81.09 / $154.03	Professional	26	$51.91	$81.09	$154.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.96 / $274.24 / $528.45	Professional	TC	$172.96	$274.24	$528.45