Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $152.62 / $167.88 / $167.88	Facility	26	$152.62	$167.88	$167.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $264.97 / $504.65	Professional		$233.86	$264.97	$504.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.25 / $165.65 / $325.08	Professional	26	$144.25	$165.65	$325.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.86 / $96.08 / $116.17	Professional	TC	$84.86	$96.08	$116.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $216.29 / $505.70	Professional		$88.69	$216.29	$505.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.41 / $176.41 / $176.41	Facility	26	$176.41	$176.41	$176.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $261.73 / $812.34	Professional		$90.08	$261.73	$812.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $139.81 / $192.46 / $585.01	Professional	26	$139.81	$192.46	$585.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.37 / $104.33 / $366.14	Professional	TC	$80.37	$104.33	$366.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.58 / $327.52 / $508.17	Professional		$297.58	$327.52	$508.17
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $209.33 / $231.59 / $329.93	Professional	26	$209.33	$231.59	$329.93
United Facility/Professional Professional Modifier Low / Median / High Price $206.20 / $314.52 / $459.98	Professional		$206.20	$314.52	$459.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.96 / $188.49 / $270.44	Professional	26	$125.96	$188.49	$270.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.73 / $115.50 / $189.81	Professional	TC	$71.73	$115.50	$189.81