Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.25 / $61.87 / $61.87	Facility	26	$56.25	$61.87	$61.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.94 / $428.04 / $536.37	Professional		$373.94	$428.04	$536.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.71 / $66.22 / $121.35	Professional	26	$51.71	$66.22	$121.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $317.69 / $369.51 / $468.08	Professional	TC	$317.69	$369.51	$468.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $63.37 / $425.80	Professional		$59.98	$63.37	$425.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.81 / $64.81 / $64.81	Facility	26	$64.81	$64.81	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.89 / $516.66 / $1,566.30	Professional		$379.89	$516.66	$1,566.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.94 / $73.93 / $246.49	Professional	26	$50.94	$73.93	$246.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $325.55 / $447.49 / $1,349.67	Professional	TC	$325.55	$447.49	$1,349.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.42 / $534.42 / $534.42	Professional		$534.42	$534.42	$534.42
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.75 / $73.42 / $114.87	Professional	26	$72.75	$73.42	$114.87
United Facility/Professional Professional Modifier Low / Median / High Price $314.79 / $518.48 / $943.36	Professional		$314.79	$518.48	$943.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.81 / $94.00 / $156.69	Professional	26	$52.81	$94.00	$156.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.07 / $487.97 / $847.52	Professional	TC	$260.07	$487.97	$847.52