Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.46 / $45.60 / $54.21	Facility	26	$41.46	$45.60	$54.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $130.41 / $144.52	Professional		$109.14	$130.41	$144.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $41.46 / $90.14	Professional	26	$31.76	$41.46	$90.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $97.21 / $101.14	Professional	TC	$79.23	$97.21	$101.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $135.88 / $275.48	Professional		$59.64	$135.88	$275.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.64 / $48.64 / $48.64	Facility	26	$48.64	$48.64	$48.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $170.76 / $637.69	Professional		$103.51	$170.76	$637.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $55.66 / $196.46	Professional	26	$33.49	$55.66	$196.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $118.59 / $441.22	Professional	TC	$71.81	$118.59	$441.22
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.67 / $71.78 / $110.83	Professional	26	$65.67	$71.78	$110.83
United Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $140.08 / $288.29	Professional		$86.01	$140.08	$288.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.02 / $44.08 / $91.40	Professional	26	$27.02	$44.08	$91.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $89.62 / $190.75	Professional	TC	$62.86	$89.62	$190.75