Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.48 / $61.02 / $61.02	Facility	26	$55.48	$61.02	$61.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.75 / $440.06 / $596.54	Professional		$357.75	$440.06	$596.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $60.69 / $118.81	Professional	26	$51.32	$60.69	$118.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $300.49 / $380.81 / $452.27	Professional	TC	$300.49	$380.81	$452.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $398.08 / $889.03	Professional		$62.06	$398.08	$889.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.25 / $457.43 / $1,515.99	Professional		$244.25	$457.43	$1,515.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.64 / $70.12 / $212.77	Professional	26	$50.64	$70.12	$212.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.34 / $398.08 / $1,303.21	Professional	TC	$164.34	$398.08	$1,303.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.76 / $604.15 / $616.55	Professional		$552.76	$604.15	$616.55
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.01 / $77.61 / $116.20	Professional	26	$71.01	$77.61	$116.20
United Facility/Professional Professional Modifier Low / Median / High Price $190.15 / $289.83 / $480.95	Professional		$190.15	$289.83	$480.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $63.04 / $92.77	Professional	26	$40.11	$63.04	$92.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.13 / $215.90 / $411.49	Professional	TC	$124.13	$215.90	$411.49