Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $27.64 / $41.43	Facility	26	$25.12	$27.64	$41.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $116.61 / $129.41	Professional		$82.81	$116.61	$129.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $27.64 / $55.64	Professional	26	$22.87	$27.64	$55.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $91.48 / $103.64	Professional	TC	$59.92	$91.48	$103.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $135.76 / $242.87	Professional		$35.60	$135.76	$242.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.92 / $28.92 / $28.92	Facility	26	$28.92	$28.92	$28.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $149.01 / $569.04	Professional		$86.54	$149.01	$569.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.76 / $36.94 / $123.03	Professional	26	$20.76	$36.94	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.59 / $116.03 / $452.12	Professional	TC	$70.59	$116.03	$452.12
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.65 / $42.47 / $65.40	Professional	26	$38.65	$42.47	$65.40
United Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $115.51 / $242.52	Professional		$72.63	$115.51	$242.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.68 / $31.91 / $61.59	Professional	26	$20.68	$31.91	$61.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.96 / $80.58 / $157.22	Professional	TC	$50.96	$80.58	$157.22