Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.62 / $30.38 / $30.38	Facility	26	$27.62	$30.38	$30.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $121.14 / $132.55	Professional		$90.73	$121.14	$132.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $26.99 / $58.86	Professional	26	$24.26	$26.99	$58.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $93.52 / $104.00	Professional	TC	$66.45	$93.52	$104.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $31.39 / $31.39	Professional		$31.39	$31.39	$31.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.15 / $32.15 / $32.15	Facility	26	$32.15	$32.15	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $155.13 / $583.12	Professional		$102.14	$155.13	$583.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.14 / $39.92 / $129.41	Professional	26	$23.14	$39.92	$129.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.28 / $117.58 / $453.71	Professional	TC	$75.28	$117.58	$453.71
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.69 / $108.69 / $108.69	Professional	26	$108.69	$108.69	$108.69
United Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $136.41 / $228.45	Professional		$78.45	$136.41	$228.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.21 / $40.90 / $87.90	Professional	26	$21.21	$40.90	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.33 / $111.19 / $156.34	Professional	TC	$61.33	$111.19	$156.34