Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.74 / $54.71 / $90.78	Facility	26	$49.74	$54.71	$90.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $149.03 / $272.73	Professional		$128.04	$149.03	$272.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.91 / $96.00 / $102.49	Professional	26	$41.91	$96.00	$102.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.81 / $97.58 / $221.14	Professional	TC	$81.81	$97.58	$221.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $127.20 / $268.12	Professional		$66.17	$127.20	$268.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $306.05 / $1,199.04	Professional		$131.33	$306.05	$1,199.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.06 / $71.84 / $266.24	Professional	26	$41.06	$71.84	$266.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.20 / $223.13 / $714.24	Professional	TC	$72.20	$223.13	$714.24
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.83 / $81.79 / $126.26	Professional	26	$74.83	$81.79	$126.26
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.91 / $145.91 / $145.91	Professional	TC	$145.91	$145.91	$145.91
United Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $267.30 / $546.71	Professional		$123.08	$267.30	$546.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.87 / $70.01 / $121.97	Professional	26	$29.87	$70.01	$121.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.14 / $214.59 / $424.74	Professional	TC	$82.14	$214.59	$424.74