Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $106.20 / $264.60	Facility		$99.00	$106.20	$264.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.47 / $19.47 / $19.47	Facility	26	$19.47	$19.47	$19.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $52.77 / $59.49	Professional		$47.98	$52.77	$59.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.70 / $21.17 / $46.03	Professional	26	$17.70	$21.17	$46.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.29 / $39.54 / $76.40	Professional	TC	$30.29	$39.54	$76.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $48.70 / $82.11	Facility		$22.26	$48.70	$82.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $66.95 / $141.02	Professional		$30.36	$66.95	$141.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.80 / $127.80 / $127.80	Facility		$127.80	$127.80	$127.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.15 / $47.15 / $47.15	Facility	26	$47.15	$47.15	$47.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $38.44 / $105.34	Professional		$30.41	$38.44	$105.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $14.83 / $40.40	Professional	26	$9.86	$14.83	$40.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $23.40 / $68.29	Professional	TC	$20.07	$23.40	$68.29
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.85 / $28.52 / $41.21	Professional	26	$24.85	$28.52	$41.21
United Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $56.68 / $104.08	Professional		$34.01	$56.68	$104.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $22.35 / $49.40	Professional	26	$12.39	$22.35	$49.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $32.08 / $64.93	Professional	TC	$18.78	$32.08	$64.93