Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.26 / $38.78 / $38.78	Facility	26	$35.26	$38.78	$38.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $143.56 / $168.46	Professional		$135.00	$143.56	$168.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.98 / $35.26 / $75.06	Professional	26	$31.98	$35.26	$75.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.75 / $111.58 / $130.44	Professional	TC	$99.75	$111.58	$130.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $40.61 / $143.61	Professional		$38.43	$40.61	$143.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $177.20 / $411.29	Professional		$118.60	$177.20	$411.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.37 / $49.43 / $111.42	Professional	26	$29.37	$49.43	$111.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.13 / $130.58 / $299.87	Professional	TC	$88.13	$130.58	$299.87
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.91 / $62.03 / $96.49	Professional	26	$58.91	$62.03	$96.49
United Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $141.30 / $240.04	Professional		$110.84	$141.30	$240.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $35.28 / $66.88	Professional	26	$26.07	$35.28	$66.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.45 / $102.96 / $196.89	Professional	TC	$76.45	$102.96	$196.89