Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $165.96	Professional		$89.13	$107.15	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $48.98 / $79.43	Professional	26	$28.18	$48.98	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $74.13 / $112.20	Professional	TC	$61.66	$74.13	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $104.71 / $223.87	Professional		$43.65	$104.71	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $38.02 / $53.70	Facility	26	$8.13	$38.02	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $501.19	Professional		$81.28	$144.54	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $47.86 / $154.88	Professional	26	$24.55	$47.86	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $97.72 / $354.81	Professional	TC	$57.54	$97.72	$354.81
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $58.88 / $87.10	Professional	26	$51.29	$58.88	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $213.80	Professional		$83.18	$117.49	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.90 / $70.79	Professional	26	$25.12	$38.90	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $79.43 / $147.91	Professional	TC	$57.54	$79.43	$147.91