Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.18 / $40.90 / $54.21	Facility	26	$37.18	$40.90	$54.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $119.68 / $127.86	Professional		$101.04	$119.68	$127.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.21 / $58.40 / $82.35	Professional	26	$33.21	$58.40	$82.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.14 / $85.57 / $88.62	Professional	TC	$71.14	$85.57	$88.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $120.20 / $244.08	Professional		$53.96	$120.20	$244.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.57 / $43.57 / $43.57	Facility	26	$43.57	$43.57	$43.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $150.59 / $564.37	Professional		$93.47	$150.59	$564.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.29 / $52.43 / $177.76	Professional	26	$31.29	$52.43	$177.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.76 / $103.95 / $386.66	Professional	TC	$60.76	$103.95	$386.66
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.90 / $80.48 / $99.17	Professional	26	$58.90	$80.48	$99.17
United Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $155.75 / $252.89	Professional		$87.22	$155.75	$252.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.95 / $44.06 / $94.63	Professional	26	$28.95	$44.06	$94.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.44 / $80.84 / $163.13	Professional	TC	$55.44	$80.84	$163.13