Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.17 / $45.28 / $51.32	Facility	26	$41.17	$45.28	$51.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.13 / $411.83 / $488.99	Professional		$366.13	$411.83	$488.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $43.20 / $90.77	Professional	26	$37.29	$43.20	$90.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $324.95 / $375.12 / $448.71	Professional	TC	$324.95	$375.12	$448.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $676.39 / $767.93	Professional		$91.54	$676.39	$767.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.92 / $47.92 / $47.92	Facility	26	$47.92	$47.92	$47.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.69 / $486.52 / $1,821.04	Professional		$463.69	$486.52	$1,821.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.82 / $55.27 / $194.87	Professional	26	$47.82	$55.27	$194.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $408.42 / $438.70 / $1,626.12	Professional	TC	$408.42	$438.70	$1,626.12
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.28 / $67.72 / $102.74	Professional	26	$41.28	$67.72	$102.74
United Facility/Professional Professional Modifier Low / Median / High Price $269.92 / $430.67 / $881.43	Professional		$269.92	$430.67	$881.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.20 / $42.40 / $74.76	Professional	26	$29.20	$42.40	$74.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.76 / $394.17 / $735.78	Professional	TC	$243.76	$394.17	$735.78