Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.23 / $33.25 / $33.25	Facility	26	$30.23	$33.25	$33.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $206.66 / $273.67	Professional		$171.22	$206.66	$273.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.23 / $34.90 / $80.59	Professional	26	$30.23	$34.90	$80.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $172.88 / $228.41	Professional	TC	$140.87	$172.88	$228.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $447.41 / $528.76	Professional		$81.36	$447.41	$528.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.72 / $42.72 / $42.72	Facility	26	$42.72	$42.72	$42.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.55 / $319.29 / $1,253.54	Professional		$181.55	$319.29	$1,253.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.51 / $49.12 / $176.17	Professional	26	$34.51	$49.12	$176.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.87 / $270.16 / $1,077.32	Professional	TC	$154.87	$270.16	$1,077.32
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.92 / $55.83 / $85.34	Professional	26	$48.92	$55.83	$85.34
United Facility/Professional Professional Modifier Low / Median / High Price $131.21 / $227.21 / $431.29	Professional		$131.21	$227.21	$431.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.13 / $44.13 / $92.07	Professional	26	$24.13	$44.13	$92.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.90 / $188.85 / $368.93	Professional	TC	$125.90	$188.85	$368.93