Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.89 / $70.29 / $100.34	Facility	26	$63.89	$70.29	$100.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $190.78 / $285.52	Professional		$156.47	$190.78	$285.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.45 / $66.47 / $132.55	Professional	26	$54.45	$66.47	$132.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $177.61 / $221.14	Professional	TC	$97.08	$177.61	$221.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $156.07 / $328.95	Professional		$85.65	$156.07	$328.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.79 / $69.79 / $69.79	Facility	26	$69.79	$69.79	$69.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $312.14 / $1,045.20	Professional		$159.94	$312.14	$1,045.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.06 / $89.68 / $291.97	Professional	26	$53.06	$89.68	$291.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.54 / $237.41 / $839.34	Professional	TC	$85.54	$237.41	$839.34
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.75 / $160.41 / $164.22	Professional	26	$96.75	$160.41	$164.22
United Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $286.27 / $584.13	Professional		$137.81	$286.27	$584.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.14 / $83.04 / $149.06	Professional	26	$38.14	$83.04	$149.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.18 / $208.39 / $479.49	Professional	TC	$103.18	$208.39	$479.49