Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.01 / $33.02 / $50.41	Facility	26	$30.01	$33.02	$50.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $176.94 / $211.62	Professional		$92.12	$176.94	$211.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $62.94 / $66.48	Professional	26	$27.82	$62.94	$66.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.01 / $70.11 / $105.76	Professional	TC	$44.01	$70.11	$105.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $86.99 / $201.69	Professional		$34.09	$86.99	$201.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $34.36 / $34.36	Facility	26	$34.36	$34.36	$34.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $127.94 / $282.23	Professional		$80.94	$127.94	$282.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $41.81 / $94.17	Professional	26	$24.66	$41.81	$94.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.34 / $82.01 / $194.29	Professional	TC	$55.34	$82.01	$194.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.35 / $165.72 / $269.64	Professional		$160.35	$165.72	$269.64
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $52.26 / $80.73	Professional	26	$40.90	$52.26	$80.73
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.27 / $127.43 / $129.44	Professional	TC	$123.27	$127.43	$129.44
United Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $103.73 / $196.21	Professional		$67.16	$103.73	$196.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.85 / $31.56 / $61.71	Professional	26	$21.85	$31.56	$61.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.10 / $67.81 / $146.05	Professional	TC	$48.10	$67.81	$146.05