Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.06 / $38.06 / $38.06	Facility	26	$38.06	$38.06	$38.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $98.96 / $110.82	Professional		$89.97	$98.96	$110.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $38.06 / $38.47	Professional	26	$33.17	$38.06	$38.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.37 / $61.39 / $72.34	Professional	TC	$55.37	$61.39	$72.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.38 / $234.87	Professional		$58.88	$102.38	$234.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.15 / $97.15 / $97.15	Facility	26	$97.15	$97.15	$97.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $88.45 / $218.51	Professional		$50.65	$88.45	$218.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.11 / $32.11 / $96.00	Professional	26	$19.11	$32.11	$96.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.03 / $56.32 / $123.06	Professional	TC	$31.03	$56.32	$123.06
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.16 / $53.02 / $57.91	Professional	26	$48.16	$53.02	$57.91
United Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $117.82 / $223.42	Professional		$63.75	$117.82	$223.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.72 / $47.09 / $95.66	Professional	26	$24.72	$47.09	$95.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.03 / $73.67 / $139.97	Professional	TC	$39.03	$73.67	$139.97