Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.23 / $113.55 / $113.55	Facility	26	$103.23	$113.55	$113.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $178.04 / $348.44	Professional		$168.37	$178.04	$348.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.15 / $113.03 / $223.00	Professional	26	$96.15	$113.03	$223.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.73 / $76.12 / $88.59	Professional	TC	$65.73	$76.12	$88.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $146.00 / $359.05	Professional		$70.45	$146.00	$359.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.19 / $118.19 / $118.19	Facility	26	$118.19	$118.19	$118.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $187.80 / $596.41	Professional		$90.08	$187.80	$596.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.71 / $128.44 / $394.74	Professional	26	$93.71	$128.44	$394.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.14 / $82.74 / $309.35	Professional	TC	$62.14	$82.74	$309.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.37 / $243.99 / $352.51	Professional		$232.37	$243.99	$352.51
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.38 / $143.60 / $212.39	Professional	26	$131.38	$143.60	$212.39
United Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $224.52 / $324.87	Professional		$145.94	$224.52	$324.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.81 / $125.78 / $180.46	Professional	26	$78.81	$125.78	$180.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.63 / $93.94 / $149.74	Professional	TC	$61.63	$93.94	$149.74