Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.68 / $50.24 / $50.24	Facility	26	$45.68	$50.24	$50.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $231.17 / $249.80	Professional		$107.77	$231.17	$249.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $99.14 / $101.77	Professional	26	$42.60	$99.14	$101.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.09 / $74.87 / $93.24	Professional	TC	$62.09	$74.87	$93.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $102.49 / $237.62	Professional		$52.87	$102.49	$237.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.62 / $53.62 / $53.62	Facility	26	$53.62	$53.62	$53.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $153.74 / $331.61	Professional		$94.46	$153.74	$331.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.50 / $63.50 / $147.58	Professional	26	$38.50	$63.50	$147.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.65 / $87.64 / $184.03	Professional	TC	$56.65	$87.64	$184.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.06 / $193.41 / $304.20	Professional		$108.06	$193.41	$304.20
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $87.11 / $123.13	Professional	26	$71.31	$87.11	$123.13
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.16 / $59.16 / $127.42	Professional	TC	$59.16	$59.16	$127.42
United Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $127.19 / $241.58	Professional		$94.30	$127.19	$241.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.10 / $49.42 / $88.90	Professional	26	$34.10	$49.42	$88.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.76 / $82.29 / $149.60	Professional	TC	$53.76	$82.29	$149.60