Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $39.81 / $39.81	Facility	26	$36.31	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $338.84	Professional		$74.13	$165.96	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $72.44 / $128.82	Professional	26	$32.36	$72.44	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $52.48 / $100.00	Professional	TC	$39.81	$52.48	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $75.86 / $125.89	Professional		$36.31	$75.86	$125.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $41.69 / $58.88	Facility	26	$8.91	$41.69	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $446.68	Professional		$69.18	$123.03	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $52.48 / $186.21	Professional	26	$29.51	$52.48	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $69.18 / $234.42	Professional	TC	$38.90	$69.18	$234.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $158.49	Professional		$141.25	$144.54	$158.49
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $61.66 / $95.50	Professional	26	$56.23	$61.66	$95.50
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $89.13 / $95.50	Professional	TC	$85.11	$89.13	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $177.83	Professional		$67.61	$95.50	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.02 / $74.13	Professional	26	$26.92	$38.02	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $52.48 / $100.00	Professional	TC	$38.02	$52.48	$100.00