Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.34 / $26.34 / $26.34	Facility	26	$26.34	$26.34	$26.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $128.04 / $137.63	Professional		$97.57	$128.04	$137.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.64 / $26.22 / $56.88	Professional	26	$23.64	$26.22	$56.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $104.00 / $110.08	Professional	TC	$73.93	$104.00	$110.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.37 / $30.37 / $30.37	Facility	26	$30.37	$30.37	$30.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $157.21 / $604.91	Professional		$104.72	$157.21	$604.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.83 / $38.83 / $126.71	Professional	26	$21.83	$38.83	$126.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.59 / $122.62 / $480.22	Professional	TC	$78.59	$122.62	$480.22
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.28 / $68.28 / $68.28	Professional	26	$68.28	$68.28	$68.28
United Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $133.29 / $250.32	Professional		$80.89	$133.29	$250.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $33.15 / $64.23	Professional	26	$20.14	$33.15	$64.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.02 / $110.34 / $179.53	Professional	TC	$66.02	$110.34	$179.53