Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.42 / $46.42 / $51.06	Facility	26	$46.42	$46.42	$51.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $154.33 / $183.89	Professional		$143.72	$154.33	$183.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.81 / $51.06 / $101.01	Professional	26	$41.81	$51.06	$101.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.30 / $111.43 / $210.32	Professional	TC	$97.30	$111.43	$210.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $157.66 / $319.55	Professional		$66.17	$157.66	$319.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $224.03 / $740.59	Professional		$126.91	$224.03	$740.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.78 / $66.25 / $218.30	Professional	26	$38.78	$66.25	$218.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.13 / $157.78 / $522.29	Professional	TC	$88.13	$157.78	$522.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.59 / $248.59 / $271.70	Professional		$248.59	$248.59	$271.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.11 / $99.89 / $123.34	Professional	26	$73.11	$99.89	$123.34
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.38 / $201.38 / $201.38	Professional	TC	$201.38	$201.38	$201.38
United Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $220.52 / $398.65	Professional		$121.74	$220.52	$398.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.19 / $59.83 / $116.98	Professional	26	$34.19	$59.83	$116.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.11 / $149.94 / $247.01	Professional	TC	$93.11	$149.94	$247.01