Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.64 / $32.64 / $32.64	Facility	26	$32.64	$32.64	$32.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $107.61 / $117.76	Professional		$99.89	$107.61	$117.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.60 / $68.51 / $72.31	Professional	26	$29.60	$68.51	$72.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $78.00 / $81.98	Professional	TC	$68.67	$78.00	$81.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $107.46 / $218.47	Professional		$47.01	$107.46	$218.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $147.44 / $505.14	Professional		$87.74	$147.44	$505.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.15 / $47.69 / $154.34	Professional	26	$27.15	$47.69	$154.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.59 / $100.20 / $350.80	Professional	TC	$60.59	$100.20	$350.80
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.08 / $69.79 / $86.89	Professional	26	$51.08	$69.79	$86.89
United Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $127.44 / $258.30	Professional		$86.60	$127.44	$258.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.07 / $43.87 / $81.43	Professional	26	$25.07	$43.87	$81.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.52 / $82.40 / $150.80	Professional	TC	$54.52	$82.40	$150.80