Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.71 / $42.59 / $47.93	Facility	26	$38.71	$42.59	$47.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.13 / $229.90 / $411.99	Professional		$176.13	$229.90	$411.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.13 / $56.30 / $82.13	Professional	26	$31.13	$56.30	$82.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.41 / $162.49 / $209.10	Professional	TC	$137.41	$162.49	$209.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $162.72 / $374.78	Professional		$42.65	$162.72	$374.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.27 / $43.27 / $43.27	Facility	26	$43.27	$43.27	$43.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.49 / $242.46 / $510.04	Professional		$172.49	$242.46	$510.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $43.16 / $100.00	Professional	26	$35.40	$43.16	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.84 / $188.89 / $397.43	Professional	TC	$135.84	$188.89	$397.43
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.86 / $65.04 / $99.91	Professional	26	$59.86	$65.04	$99.91
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.60 / $267.56 / $280.94	Professional	TC	$260.60	$267.56	$280.94
United Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $244.26 / $429.71	Professional		$161.72	$244.26	$429.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.05 / $40.78 / $57.14	Professional	26	$27.05	$40.78	$57.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.79 / $196.90 / $377.79	Professional	TC	$125.79	$196.90	$377.79