Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.18 / $39.79 / $39.79	Facility	26	$36.18	$39.79	$39.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $147.63 / $180.64	Professional		$77.03	$147.63	$180.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $55.90 / $78.23	Professional	26	$33.34	$55.90	$78.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.85 / $49.35 / $61.46	Professional	TC	$40.85	$49.35	$61.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $78.51 / $175.53	Professional		$40.63	$78.51	$175.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $113.56 / $241.33	Professional		$69.55	$113.56	$241.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.92 / $49.97 / $117.00	Professional	26	$29.92	$49.97	$117.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.38 / $62.77 / $124.33	Professional	TC	$40.38	$62.77	$124.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $145.97 / $161.06	Professional		$145.97	$145.97	$161.06
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.30 / $64.81 / $95.56	Professional	26	$56.30	$64.81	$95.56
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.89 / $88.60 / $89.14	Professional	TC	$84.89	$88.60	$89.14
United Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $98.50 / $176.84	Professional		$52.96	$98.50	$176.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.94 / $40.74 / $78.68	Professional	26	$26.94	$40.74	$78.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.97 / $58.89 / $103.95	Professional	TC	$37.97	$58.89	$103.95