Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.20 / $53.20 / $53.20	Facility	26	$53.20	$53.20	$53.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $78.73 / $84.92	Professional		$71.59	$78.73	$84.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.37 / $54.62 / $254.30	Professional	26	$48.37	$54.62	$254.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $26.22 / $30.30	Professional	TC	$23.23	$26.22	$30.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $89.52 / $189.96	Professional		$39.54	$89.52	$189.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.53 / $91.53 / $91.53	Facility	26	$91.53	$91.53	$91.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $47.96 / $152.65	Professional		$40.97	$47.96	$152.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.01 / $32.77 / $103.09	Professional	26	$27.01	$32.77	$103.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $15.37 / $49.56	Professional	TC	$13.18	$15.37	$49.56
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.95 / $80.75 / $115.50	Professional	26	$68.95	$80.75	$115.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $77.06 / $138.72	Professional		$47.01	$77.06	$138.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.35 / $48.61 / $93.66	Professional	26	$34.35	$48.61	$93.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.99 / $22.77 / $42.18	Professional	TC	$12.99	$22.77	$42.18