Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.07 / $30.88 / $35.99	Facility	26	$28.07	$30.88	$35.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $95.86 / $101.78	Professional		$81.68	$95.86	$101.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.12 / $29.25 / $61.76	Professional	26	$21.12	$29.25	$61.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.79 / $70.11 / $76.95	Professional	TC	$61.79	$70.11	$76.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $95.52 / $193.82	Professional		$40.26	$95.52	$193.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $121.33 / $449.03	Professional		$72.62	$121.33	$449.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $37.57 / $132.50	Professional	26	$22.32	$37.57	$132.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.80 / $85.13 / $316.48	Professional	TC	$50.80	$85.13	$316.48
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.82 / $59.82 / $74.31	Professional	26	$45.82	$59.82	$74.31
United Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $107.00 / $201.98	Professional		$60.71	$107.00	$201.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.20 / $28.20 / $60.66	Professional	26	$19.20	$28.20	$60.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.35 / $64.34 / $141.32	Professional	TC	$45.35	$64.34	$141.32