Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.97 / $46.17 / $67.01	Facility	26	$41.97	$46.17	$67.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $122.19 / $219.49	Professional		$104.66	$122.19	$219.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.97 / $46.17 / $87.00	Professional	26	$35.97	$46.17	$87.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.97 / $78.12 / $176.95	Professional	TC	$64.97	$78.12	$176.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $104.69 / $220.66	Professional		$56.79	$104.69	$220.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.92 / $45.92 / $45.92	Facility	26	$45.92	$45.92	$45.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $217.65 / $940.15	Professional		$92.39	$217.65	$940.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $58.96 / $194.64	Professional	26	$34.90	$58.96	$194.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.49 / $147.04 / $551.60	Professional	TC	$57.49	$147.04	$551.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $40.93 / $190.45	Professional		$40.93	$40.93	$190.45
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.68 / $69.68 / $107.97	Professional	26	$62.68	$69.68	$107.97
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.98 / $126.98 / $126.98	Professional	TC	$126.98	$126.98	$126.98
United Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $222.20 / $424.62	Professional		$90.66	$222.20	$424.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.51 / $52.41 / $99.90	Professional	26	$25.51	$52.41	$99.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.92 / $164.08 / $339.52	Professional	TC	$56.92	$164.08	$339.52