Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.21 / $61.21 / $61.21	Facility	26	$61.21	$61.21	$61.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $238.61 / $432.52	Professional		$207.49	$238.61	$432.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.81 / $123.66 / $131.06	Professional	26	$59.81	$123.66	$131.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.28 / $159.77 / $196.82	Professional	TC	$146.28	$159.77	$196.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $186.71 / $432.89	Professional		$67.92	$186.71	$432.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.50 / $69.50 / $69.50	Facility	26	$69.50	$69.50	$69.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.20 / $281.69 / $580.50	Professional		$206.20	$281.69	$580.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.70 / $87.42 / $179.37	Professional	26	$58.70	$87.42	$179.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.50 / $201.69 / $407.59	Professional	TC	$147.50	$201.69	$407.59
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.24 / $201.24 / $201.24	Professional	TC	$201.24	$201.24	$201.24
United Facility/Professional Professional Modifier Low / Median / High Price $179.53 / $261.39 / $392.64	Professional		$179.53	$261.39	$392.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.71 / $75.62 / $138.94	Professional	26	$50.71	$75.62	$138.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.65 / $185.52 / $282.11	Professional	TC	$125.65	$185.52	$282.11