Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.02 / $61.62 / $88.59	Facility	26	$56.02	$61.62	$88.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $170.01 / $285.94	Professional		$146.25	$170.01	$285.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.85 / $56.02 / $113.27	Professional	26	$47.85	$56.02	$113.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.97 / $112.84 / $229.28	Professional	TC	$93.97	$112.84	$229.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $60.17 / $60.17	Professional		$60.17	$60.17	$60.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $294.31 / $1,153.13	Professional		$129.11	$294.31	$1,153.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.62 / $78.73 / $258.91	Professional	26	$46.62	$78.73	$258.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.48 / $210.71 / $708.54	Professional	TC	$82.48	$210.71	$708.54
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $140.91 / $140.91 / $141.82	Professional	26	$140.91	$140.91	$141.82
United Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $271.57 / $526.11	Professional		$100.40	$271.57	$526.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $65.79 / $131.65	Professional	26	$25.19	$65.79	$131.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.50 / $217.65 / $407.17	Professional	TC	$81.50	$217.65	$407.17