Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.20 / $34.32 / $34.32	Facility	26	$31.20	$34.32	$34.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $132.03 / $255.85	Professional		$112.90	$132.03	$255.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.15 / $35.70 / $69.17	Professional	26	$30.15	$35.70	$69.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.54 / $99.56 / $109.52	Professional	TC	$61.54	$99.56	$109.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $174.42 / $389.34	Professional		$36.18	$174.42	$389.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $37.04 / $37.04	Facility	26	$37.04	$37.04	$37.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $218.29 / $369.42	Professional		$142.72	$218.29	$369.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.60 / $44.95 / $97.66	Professional	26	$26.60	$44.95	$97.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.72 / $152.85 / $303.08	Professional	TC	$99.72	$152.85	$303.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.86 / $352.86 / $352.86	Professional		$352.86	$352.86	$352.86
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.31 / $56.39 / $87.10	Professional	26	$51.31	$56.39	$87.10
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.76 / $354.76 / $354.76	Professional	TC	$354.76	$354.76	$354.76
United Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $141.00 / $268.67	Professional		$95.88	$141.00	$268.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $41.15 / $59.05	Professional	26	$23.91	$41.15	$59.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.29 / $102.39 / $220.43	Professional	TC	$73.29	$102.39	$220.43