Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $61.66 / $102.33	Facility	26	$54.95	$61.66	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $363.08	Professional		$147.91	$208.93	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $95.50 / $154.88	Professional	26	$50.12	$95.50	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $138.04 / $269.15	Professional	TC	$95.50	$138.04	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $323.59	Professional		$70.79	$141.25	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $60.26 / $87.10	Facility	26	$13.18	$60.26	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $323.59 / $1,230.27	Professional		$131.83	$323.59	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $75.86 / $309.03	Professional	26	$39.81	$75.86	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $239.88 / $891.25	Professional	TC	$85.11	$239.88	$891.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $93.33 / $141.25	Professional	26	$85.11	$93.33	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $281.84 / $549.54	Professional		$123.03	$281.84	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $66.07 / $114.82	Professional	26	$33.88	$66.07	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $190.55 / $426.58	Professional	TC	$83.18	$190.55	$426.58