Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $93.77 / $109.55	Professional		$84.43	$93.77	$109.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.93 / $412.81 / $535.51	Professional	26	$22.93	$412.81	$535.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.62 / $71.75 / $83.82	Professional	TC	$62.62	$71.75	$83.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $108.68 / $220.79	Professional		$39.32	$108.68	$220.79
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 $43.04 / $52.00 / $135.87	Professional		$43.04	$52.00	$135.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.74 / $16.27 / $45.11	Professional	26	$12.74	$16.27	$45.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.77 / $39.26 / $99.98	Professional	TC	$26.77	$39.26	$99.98
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.25 / $53.25 / $53.25	Professional	26	$53.25	$53.25	$53.25
United Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $58.84 / $118.07	Professional		$46.23	$58.84	$118.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.05 / $28.75 / $47.44	Professional	26	$16.05	$28.75	$47.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.18 / $40.20 / $81.67	Professional	TC	$30.18	$40.20	$81.67