Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $122.42 / $142.10	Professional		$111.02	$122.42	$142.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.40 / $73.69 / $75.15	Professional	26	$28.40	$73.69	$75.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.00 / $95.19 / $110.26	Professional	TC	$84.00	$95.19	$110.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $142.16 / $288.63	Professional		$48.68	$142.16	$288.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.39 / $63.39 / $63.39	Facility	26	$63.39	$63.39	$63.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $68.42 / $177.63	Professional		$52.72	$68.42	$177.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $22.96 / $61.75	Professional	26	$15.78	$22.96	$61.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.76 / $52.65 / $133.18	Professional	TC	$29.76	$52.65	$133.18
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.92 / $65.92 / $65.92	Professional	26	$65.92	$65.92	$65.92
United Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $85.72 / $199.18	Professional		$62.82	$85.72	$199.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.88 / $31.36 / $66.31	Professional	26	$19.88	$31.36	$66.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.81 / $50.75 / $105.98	Professional	TC	$34.81	$50.75	$105.98