Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.04 / $28.04 / $28.04	Facility	26	$28.04	$28.04	$28.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $100.51 / $119.50	Professional		$94.50	$100.51	$119.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.47 / $28.04 / $61.35	Professional	26	$25.47	$28.04	$61.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $75.04 / $89.83	Professional	TC	$66.45	$75.04	$89.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $91.78 / $212.80	Professional		$32.15	$91.78	$212.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $137.68 / $283.57	Professional		$85.83	$137.68	$283.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $40.19 / $87.95	Professional	26	$23.25	$40.19	$87.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.88 / $96.43 / $195.62	Professional	TC	$62.88	$96.43	$195.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.58 / $165.58 / $165.58	Professional		$165.58	$165.58	$165.58
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.65 / $61.34 / $76.23	Professional	26	$44.65	$61.34	$76.23
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.52 / $128.52 / $128.52	Professional	TC	$128.52	$128.52	$128.52
United Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $109.72 / $208.45	Professional		$77.73	$109.72	$208.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.16 / $35.86 / $70.34	Professional	26	$21.16	$35.86	$70.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.95 / $81.81 / $150.25	Professional	TC	$57.95	$81.81	$150.25