Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.49 / $43.43 / $43.43	Facility	26	$39.49	$43.43	$43.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $83.73 / $101.64	Professional		$71.34	$83.73	$101.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.50 / $36.94 / $41.11	Professional	26	$33.50	$36.94	$41.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.92 / $47.90 / $61.85	Professional	TC	$31.92	$47.90	$61.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $82.17 / $164.16	Professional		$50.23	$82.17	$164.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.19 / $43.19 / $43.19	Facility	26	$43.19	$43.19	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $141.00 / $717.94	Professional		$63.00	$141.00	$717.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.01 / $55.41 / $174.63	Professional	26	$31.01	$55.41	$174.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.00 / $59.20 / $227.46	Professional	TC	$32.00	$59.20	$227.46
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.38 / $56.53 / $58.54	Professional	26	$47.38	$56.53	$58.54
United Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $113.28 / $285.58	Professional		$58.91	$113.28	$285.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.14 / $50.06 / $93.37	Professional	26	$24.14	$50.06	$93.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.18 / $99.40 / $201.48	Professional	TC	$25.18	$99.40	$201.48