Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.76 / $43.73 / $43.73	Facility	26	$39.76	$43.73	$43.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $218.92 / $234.08	Professional		$100.40	$218.92	$234.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $85.24 / $86.96	Professional	26	$36.61	$85.24	$86.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $64.31 / $77.59	Professional	TC	$56.82	$64.31	$77.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $91.50 / $219.96	Professional		$45.07	$91.50	$219.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.25 / $46.25 / $46.25	Facility	26	$46.25	$46.25	$46.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $133.74 / $310.04	Professional		$88.31	$133.74	$310.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $55.34 / $129.57	Professional	26	$33.22	$55.34	$129.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.08 / $81.56 / $180.47	Professional	TC	$55.08	$81.56	$180.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $172.01 / $206.80	Professional		$95.75	$172.01	$206.80
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.55 / $68.88 / $106.17	Professional	26	$62.55	$68.88	$106.17
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.04 / $116.09 / $125.63	Professional	TC	$58.04	$116.09	$125.63
United Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $103.61 / $195.72	Professional		$77.37	$103.61	$195.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.53 / $41.92 / $75.22	Professional	26	$27.53	$41.92	$75.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.94 / $61.69 / $121.55	Professional	TC	$41.94	$61.69	$121.55