Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.53 / $37.53 / $41.28	Facility	26	$37.53	$37.53	$41.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $120.30 / $169.23	Professional		$81.02	$120.30	$169.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $63.95 / $83.11	Professional	26	$34.46	$63.95	$83.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.34 / $86.74 / $103.82	Professional	TC	$76.34	$86.74	$103.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $124.99 / $254.23	Professional		$54.02	$124.99	$254.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.97 / $43.97 / $43.97	Facility	26	$43.97	$43.97	$43.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $176.58 / $587.79	Professional		$100.29	$176.58	$587.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.57 / $54.02 / $177.76	Professional	26	$31.57	$54.02	$177.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.72 / $123.38 / $410.04	Professional	TC	$68.72	$123.38	$410.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $196.36 / $214.62	Professional		$113.02	$196.36	$214.62
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.42 / $98.72 / $100.75	Professional	26	$61.42	$98.72	$100.75
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $157.03 / $157.03 / $157.03	Professional	TC	$157.03	$157.03	$157.03
United Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $175.44 / $286.56	Professional		$102.71	$175.44	$286.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $57.62 / $95.79	Professional	26	$30.40	$57.62	$95.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.91 / $117.82 / $212.29	Professional	TC	$58.91	$117.82	$212.29