Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $52.48 / $52.48	Facility	26	$46.77	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $218.78	Professional		$100.00	$128.82	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $97.72 / $512.86	Professional	26	$50.12	$97.72	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $67.61 / $114.82	Professional	TC	$51.29	$67.61	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $134.90 / $269.15	Professional		$131.83	$134.90	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $69.18 / $97.72	Facility	26	$14.79	$69.18	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $354.81 / $831.76	Professional		$128.82	$354.81	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $154.88 / $295.12	Professional	26	$61.66	$154.88	$295.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $245.47 / $316.23	Professional	TC	$64.57	$245.47	$316.23
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $134.90 / $138.04	Professional	26	$89.13	$134.90	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $269.15	Professional		$89.13	$144.54	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $102.33	Professional	26	$40.74	$54.95	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $93.33 / $173.78	Professional	TC	$52.48	$93.33	$173.78