Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.95 / $37.34 / $37.34	Facility	26	$33.95	$37.34	$37.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $98.70 / $115.47	Professional		$73.95	$98.70	$115.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.12 / $37.54 / $75.47	Professional	26	$31.12	$37.54	$75.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.20 / $113.77 / $230.00	Professional	50	$113.20	$113.77	$230.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.35 / $68.13 / $101.14	Professional	TC	$60.35	$68.13	$101.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $89.34 / $207.14	Professional		$39.44	$89.34	$207.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.72 / $39.72 / $39.72	Facility	26	$39.72	$39.72	$39.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $134.01 / $286.02	Professional		$82.83	$134.01	$286.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.52 / $49.30 / $107.33	Professional	26	$28.52	$49.30	$107.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.76 / $84.71 / $178.69	Professional	TC	$54.76	$84.71	$178.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $174.08 / $179.93	Professional		$164.63	$174.08	$179.93
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.17 / $91.28 / $136.91	Professional	26	$60.17	$91.28	$136.91
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $246.95 / $269.89 / $269.89	Professional	50	$246.95	$269.89	$269.89
United Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $109.52 / $213.25	Professional		$82.19	$109.52	$213.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.13 / $42.00 / $70.62	Professional	26	$26.13	$42.00	$70.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.94 / $75.12 / $132.22	Professional	TC	$52.94	$75.12	$132.22