Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.54 / $42.39 / $42.39	Facility	26	$38.54	$42.39	$42.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $193.87 / $230.43	Professional		$180.94	$193.87	$230.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.73 / $38.54 / $80.70	Professional	26	$22.73	$38.54	$80.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.40 / $164.16 / $204.52	Professional	TC	$142.40	$164.16	$204.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $43.04 / $192.81	Professional		$40.72	$43.04	$192.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.28 / $43.28 / $43.28	Facility	26	$43.28	$43.28	$43.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $252.58 / $528.64	Professional		$179.67	$252.58	$528.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.32 / $43.04 / $100.43	Professional	26	$29.32	$43.04	$100.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $202.39 / $415.57	Professional	TC	$142.94	$202.39	$415.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.49 / $317.49 / $317.49	Professional		$317.49	$317.49	$317.49
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.04 / $65.43 / $101.62	Professional	26	$65.04	$65.43	$101.62
United Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $237.65 / $423.12	Professional		$158.09	$237.65	$423.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $36.25 / $55.73	Professional	26	$19.98	$36.25	$55.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $130.80 / $203.11 / $385.58	Professional	TC	$130.80	$203.11	$385.58