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 / $85.35	Facility	26	$49.74	$54.71	$85.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $145.81 / $272.42	Professional		$99.25	$145.81	$272.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.81 / $97.25 / $101.01	Professional	26	$41.81	$97.25	$101.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.20 / $177.61 / $221.14	Professional	TC	$100.20	$177.61	$221.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $163.40 / $328.58	Professional		$66.17	$163.40	$328.58
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 $139.93 / $311.79 / $1,031.94	Professional		$139.93	$311.79	$1,031.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.06 / $71.90 / $249.72	Professional	26	$41.06	$71.90	$249.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.87 / $214.75 / $675.57	Professional	TC	$98.87	$214.75	$675.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.76 / $289.76 / $289.76	Professional		$289.76	$289.76	$289.76
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.83 / $124.08 / $127.02	Professional	26	$74.83	$124.08	$127.02
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.81 / $199.81 / $199.81	Professional	TC	$199.81	$199.81	$199.81
United Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $289.69 / $631.29	Professional		$127.94	$289.69	$631.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.87 / $66.17 / $116.98	Professional	26	$29.87	$66.17	$116.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.92 / $197.09 / $362.96	Professional	TC	$84.92	$197.09	$362.96