Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.97 / $50.56 / $50.56	Facility	26	$45.97	$50.56	$50.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.19 / $264.20 / $284.85	Professional		$123.19	$264.20	$284.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.18 / $50.56 / $101.77	Professional	26	$42.18	$50.56	$101.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.23 / $87.95 / $109.52	Professional	TC	$77.23	$87.95	$109.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $116.34 / $272.25	Professional		$53.21	$116.34	$272.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.96 / $53.96 / $53.96	Facility	26	$53.96	$53.96	$53.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.82 / $176.13 / $380.20	Professional		$108.82	$176.13	$380.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.76 / $63.50 / $148.94	Professional	26	$38.76	$63.50	$148.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.73 / $109.62 / $231.26	Professional	TC	$70.73	$109.62	$231.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $212.15 / $255.06	Professional		$120.33	$212.15	$255.06
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.76 / $121.00 / $124.01	Professional	26	$79.76	$121.00	$124.01
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.16 / $155.84 / $201.60	Professional	TC	$139.16	$155.84	$201.60
United Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $155.00 / $256.91	Professional		$101.92	$155.00	$256.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.61 / $49.42 / $86.52	Professional	26	$33.61	$49.42	$86.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.23 / $91.50 / $183.32	Professional	TC	$67.23	$91.50	$183.32