Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.10 / $67.20 / $67.20	Facility	26	$61.10	$67.20	$67.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.59 / $194.96 / $347.89	Professional		$168.59	$194.96	$347.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.74 / $58.61 / $123.89	Professional	26	$51.74	$58.61	$123.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.11 / $133.31 / $286.25	Professional	TC	$111.11	$133.31	$286.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $65.18 / $65.18	Professional		$65.18	$65.18	$65.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.34 / $66.34 / $66.34	Facility	26	$66.34	$66.34	$66.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $356.87 / $1,393.69	Professional		$171.98	$356.87	$1,393.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.43 / $85.04 / $279.11	Professional	26	$50.43	$85.04	$279.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.48 / $269.76 / $880.28	Professional	TC	$97.48	$269.76	$880.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.02 / $99.88 / $156.05	Professional	26	$84.02	$99.88	$156.05
United Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $330.23 / $637.21	Professional		$141.97	$330.23	$637.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $76.66 / $142.53	Professional	26	$36.49	$76.66	$142.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.20 / $245.53 / $508.02	Professional	TC	$84.20	$245.53	$508.02