Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.81 / $28.39 / $28.39	Facility	26	$25.81	$28.39	$28.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $96.63 / $127.68	Professional		$86.06	$96.63	$127.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $25.81 / $56.45	Professional	26	$23.33	$25.81	$56.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $70.81 / $79.98	Professional	TC	$61.40	$70.81	$79.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $92.29 / $213.97	Professional		$29.26	$92.29	$213.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.72 / $29.72 / $29.72	Facility	26	$29.72	$29.72	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $129.19 / $248.54	Professional		$86.66	$129.19	$248.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.33 / $36.57 / $81.43	Professional	26	$21.33	$36.57	$81.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.87 / $94.36 / $167.10	Professional	TC	$65.87	$94.36	$167.10
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.71 / $44.98 / $56.23	Professional	26	$44.71	$44.98	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $102.68 / $196.95	Professional		$78.59	$102.68	$196.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.88 / $28.39 / $57.01	Professional	26	$19.88	$28.39	$57.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.19 / $75.29 / $151.46	Professional	TC	$51.19	$75.29	$151.46