Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.21 / $38.72 / $57.19	Facility	26	$35.21	$38.72	$57.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $185.29 / $197.10	Professional		$85.37	$185.29	$197.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $73.55 / $77.69	Professional	26	$32.13	$73.55	$77.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.15 / $56.82 / $70.76	Professional	TC	$50.15	$56.82	$70.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $77.79 / $186.95	Professional		$40.03	$77.79	$186.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $120.95 / $261.89	Professional		$74.45	$120.95	$261.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.35 / $48.02 / $112.61	Professional	26	$29.35	$48.02	$112.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.81 / $70.91 / $149.28	Professional	TC	$45.81	$70.91	$149.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $151.65 / $243.12	Professional		$66.04	$151.65	$243.12
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.25 / $91.62 / $93.23	Professional	26	$55.25	$91.62	$93.23
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.99 / $99.18 / $166.30	Professional	TC	$97.99	$99.18	$166.30
United Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $93.65 / $183.75	Professional		$70.40	$93.65	$183.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.90 / $37.97 / $87.90	Professional	26	$25.90	$37.97	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.49 / $61.82 / $119.52	Professional	TC	$43.49	$61.82	$119.52