Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $31.62	Facility	26	$28.84	$28.84	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $281.84	Professional		$72.44	$112.20	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $51.29 / $72.44	Professional	26	$25.12	$51.29	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $79.43 / $218.78	Professional	TC	$44.67	$79.43	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $97.72 / $213.80	Professional		$36.31	$97.72	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $31.62 / $44.67	Facility	26	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $478.63	Professional		$83.18	$147.91	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $38.90 / $128.82	Professional	26	$20.42	$38.90	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $112.20 / $346.74	Professional	TC	$60.26	$112.20	$346.74
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $72.44 / $74.13	Professional	26	$47.86	$72.44	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $204.17	Professional		$53.70	$104.71	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $32.36 / $58.88	Professional	26	$16.22	$32.36	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $72.44 / $144.54	Professional	TC	$38.02	$72.44	$144.54