Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.83 / $26.21 / $26.21	Facility	26	$23.83	$26.21	$26.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $123.07 / $156.41	Professional		$49.75	$123.07	$156.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $26.21 / $50.56	Professional	26	$15.93	$26.21	$50.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.50 / $104.37 / $141.03	Professional	TC	$90.50	$104.37	$141.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $26.16 / $119.48	Professional		$24.76	$26.16	$119.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $26.70 / $26.70	Facility	26	$26.70	$26.70	$26.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $157.79 / $329.13	Professional		$112.22	$157.79	$329.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $26.17 / $61.04	Professional	26	$18.94	$26.17	$61.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.58 / $128.49 / $257.02	Professional	TC	$89.58	$128.49	$257.02
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.60 / $40.31 / $62.61	Professional	26	$38.60	$40.31	$62.61
United Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $168.32 / $307.14	Professional		$104.54	$168.32	$307.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $23.43 / $34.88	Professional	26	$13.30	$23.43	$34.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.10 / $142.44 / $250.20	Professional	TC	$82.10	$142.44	$250.20