Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $213.80	Professional		$93.33	$112.20	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $141.25	Professional	26	$23.99	$30.90	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $81.28 / $144.54	Professional	TC	$67.61	$81.28	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $70.79 / $102.33	Facility	26	$15.14	$70.79	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $154.88 / $602.56	Professional		$57.54	$154.88	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $41.69 / $151.36	Professional	26	$14.79	$41.69	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $112.20 / $446.68	Professional	TC	$42.66	$112.20	$446.68
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $61.66 / $63.10	Professional	26	$60.26	$61.66	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $158.49	Professional		$67.61	$81.28	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.39 / $44.67	Professional	26	$18.20	$22.39	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $57.54 / $114.82	Professional	TC	$48.98	$57.54	$114.82