Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.42 / $34.42 / $34.42	Facility	26	$34.42	$34.42	$34.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.49 / $162.47 / $166.76	Professional		$132.49	$162.47	$166.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.42 / $48.52 / $88.41	Professional	26	$34.42	$48.52	$88.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.82 / $112.25 / $128.13	Professional	TC	$96.82	$112.25	$128.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $179.92 / $347.63	Professional		$57.99	$179.92	$347.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.53 / $101.53 / $101.53	Facility	26	$101.53	$101.53	$101.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $115.16 / $254.78	Professional		$74.97	$115.16	$254.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $31.49 / $84.50	Professional	26	$18.80	$31.49	$84.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.93 / $86.44 / $182.65	Professional	TC	$49.93	$86.44	$182.65
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.28 / $54.40 / $79.53	Professional	26	$38.28	$54.40	$79.53
United Facility/Professional Professional Modifier Low / Median / High Price $89.56 / $108.17 / $243.38	Professional		$89.56	$108.17	$243.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $43.73 / $84.04	Professional	26	$24.26	$43.73	$84.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.46 / $70.81 / $178.03	Professional	TC	$46.46	$70.81	$178.03