Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.93 / $20.93 / $20.93	Facility	26	$20.93	$20.93	$20.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.09 / $168.39 / $196.09	Professional		$153.09	$168.39	$196.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.03 / $20.93 / $21.06	Professional	26	$18.03	$20.93	$21.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.05 / $147.44 / $175.03	Professional	TC	$134.05	$147.44	$175.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $198.82 / $384.14	Professional		$32.22	$198.82	$384.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.94 / $90.94 / $90.94	Facility	26	$90.94	$90.94	$90.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $100.43 / $274.41	Professional		$82.84	$100.43	$274.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $21.48 / $79.23	Professional	26	$10.31	$21.48	$79.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.20 / $88.86 / $208.47	Professional	TC	$71.20	$88.86	$208.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $27.29 / $27.29	Professional		$27.29	$27.29	$27.29
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.99 / $28.90 / $42.27	Professional	26	$25.99	$28.90	$42.27
United Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $160.11 / $323.86	Professional		$88.06	$160.11	$323.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.09 / $36.36 / $127.58	Professional	26	$15.09	$36.36	$127.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.23 / $132.80 / $233.20	Professional	TC	$74.23	$132.80	$233.20