Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.48 / $55.48 / $55.48	Facility	26	$55.48	$55.48	$55.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.36 / $379.63 / $476.54	Professional		$333.36	$379.63	$476.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $277.10 / $325.58 / $418.38	Professional	TC	$277.10	$325.58	$418.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $62.06 / $403.05	Professional		$58.74	$62.06	$403.05
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 $293.70 / $421.32 / $1,365.40	Professional		$293.70	$421.32	$1,365.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.35 / $360.32 / $1,152.63	Professional	TC	$216.35	$360.32	$1,152.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $81.31 / $81.31	Professional		$81.31	$81.31	$81.31
United Facility/Professional Professional Modifier Low / Median / High Price $216.44 / $294.75 / $480.90	Professional		$216.44	$294.75	$480.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.63 / $229.02 / $409.74	Professional	TC	$139.63	$229.02	$409.74