Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	26	$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $512.86	Professional		$316.23	$389.05	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $331.13 / $446.68	Professional	TC	$263.03	$331.13	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $63.10 / $89.13	Facility	26	$13.49	$63.10	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $1,949.84	Professional		$295.12	$537.03	$1,949.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $467.74 / $1,698.24	Professional	TC	$251.19	$467.74	$1,698.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $489.78	Professional		$218.78	$295.12	$489.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $234.42 / $407.38	Professional	TC	$162.18	$234.42	$407.38