Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.87 / $52.65 / $52.65	Facility	26	$47.87	$52.65	$52.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $122.37 / $167.10	Professional		$93.74	$122.37	$167.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.87 / $96.13 / $637.80	Professional	26	$47.87	$96.13	$637.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.87 / $63.85 / $104.48	Professional	TC	$45.87	$63.85	$104.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $130.97 / $259.32	Professional		$83.04	$130.97	$259.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.78 / $68.78 / $68.78	Facility	26	$68.78	$68.78	$68.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $176.18 / $798.75	Professional		$134.22	$176.18	$798.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.11 / $79.08 / $284.63	Professional	26	$61.11	$79.08	$284.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.43 / $84.99 / $308.72	Professional	TC	$66.43	$84.99	$308.72
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.95 / $89.65 / $139.35	Professional	26	$84.95	$89.65	$139.35
United Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $178.96 / $364.28	Professional		$89.83	$178.96	$364.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.18 / $70.48 / $130.76	Professional	26	$42.18	$70.48	$130.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.18 / $88.58 / $186.02	Professional	TC	$52.18	$88.58	$186.02