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 / $148.65 / $272.73	Professional		$128.04	$148.65	$272.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.91 / $99.18 / $102.67	Professional	26	$41.91	$99.18	$102.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.48 / $97.20 / $221.14	Professional	TC	$81.48	$97.20	$221.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $126.90 / $267.45	Professional		$66.17	$126.90	$267.45
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 $131.02 / $306.05 / $1,199.04	Professional		$131.02	$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 $71.93 / $223.13 / $711.96	Professional	TC	$71.93	$223.13	$711.96
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.83 / $81.79 / $127.02	Professional	26	$74.83	$81.79	$127.02
United Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $266.60 / $546.71	Professional		$101.24	$266.60	$546.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $70.58 / $121.97	Professional	26	$32.36	$70.58	$121.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.87 / $215.47 / $424.74	Professional	TC	$81.87	$215.47	$424.74