Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $43.65 / $43.65	Facility	26	$38.90	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $416.87	Professional		$97.72	$213.80	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $85.11 / $162.18	Professional	26	$36.31	$85.11	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $74.13 / $194.98	Professional	TC	$57.54	$74.13	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $91.20 / $162.18	Professional		$39.81	$91.20	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $45.71 / $66.07	Facility	26	$9.77	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $501.19	Professional		$89.13	$147.91	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $58.88 / $186.21	Professional	26	$32.36	$58.88	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $93.33 / $316.23	Professional	TC	$54.95	$93.33	$316.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $288.40	Professional		$95.50	$177.83	$288.40
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $75.86 / $107.15	Professional	26	$63.10	$75.86	$107.15
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $120.23 / $125.89	Professional	TC	$109.65	$120.23	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $194.98	Professional		$77.62	$104.71	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $41.69 / $83.18	Professional	26	$30.20	$41.69	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $61.66 / $123.03	Professional	TC	$41.69	$61.66	$123.03