Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.38 / $85.11 / $85.11	Facility	26	$77.38	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $147.16 / $277.52	Professional		$126.63	$147.16	$277.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.15 / $93.00 / $167.40	Professional	26	$72.15	$93.00	$167.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.78 / $58.06 / $69.23	Professional	TC	$51.78	$58.06	$69.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $114.70 / $274.29	Professional		$55.39	$114.70	$274.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.73 / $88.73 / $88.73	Facility	26	$88.73	$88.73	$88.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $142.71 / $447.17	Professional		$90.08	$142.71	$447.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.36 / $95.99 / $294.66	Professional	26	$70.36	$95.99	$294.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.94 / $64.62 / $233.19	Professional	TC	$48.94	$64.62	$233.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.39 / $177.93 / $274.70	Professional		$126.39	$177.93	$274.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.68 / $112.95 / $162.38	Professional	26	$102.68	$112.95	$162.38
United Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $166.56 / $247.50	Professional		$110.95	$166.56	$247.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.78 / $94.48 / $135.53	Professional	26	$63.78	$94.48	$135.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.97 / $73.84 / $116.07	Professional	TC	$47.97	$73.84	$116.07