Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.78 / $27.25 / $32.21	Facility	26	$24.78	$27.25	$32.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $180.90 / $238.30	Professional		$115.57	$180.90	$238.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $24.78 / $51.54	Professional	26	$20.29	$24.78	$51.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.80 / $108.39 / $187.63	Professional	TC	$90.80	$108.39	$187.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $26.68 / $120.30	Professional		$25.26	$26.68	$120.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $158.86 / $325.68	Professional		$113.12	$158.86	$325.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $28.58 / $62.25	Professional	26	$22.13	$28.58	$62.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.17 / $125.51 / $254.43	Professional	TC	$90.17	$125.51	$254.43
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.89 / $40.89 / $40.89	Professional	26	$40.89	$40.89	$40.89
United Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $165.95 / $300.00	Professional		$104.91	$165.95	$300.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $26.53 / $36.47	Professional	26	$16.89	$26.53	$36.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.53 / $131.72 / $250.73	Professional	TC	$81.53	$131.72	$250.73