Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $199.53 / $199.53	Facility	26	$181.97	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $549.54	Professional		$257.04	$309.03	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $194.98 / $389.05	Professional	26	$162.18	$194.98	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $109.65 / $158.49	Professional	TC	$91.20	$109.65	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $239.88 / $616.60	Professional		$91.20	$239.88	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $208.93 / $295.12	Facility	26	$44.67	$208.93	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $1,318.26	Professional		$263.03	$457.09	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $295.12 / $851.14	Professional	26	$173.78	$295.12	$851.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $177.83 / $467.74	Professional	TC	$93.33	$177.83	$467.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $389.05	Professional		$346.74	$346.74	$389.05
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $363.08 / $389.05	Professional	26	$251.19	$363.08	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $501.19	Professional		$245.47	$354.81	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $213.80 / $309.03	Professional	26	$147.91	$213.80	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $138.04 / $194.98	Professional	TC	$89.13	$138.04	$194.98