Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.65 / $41.42 / $94.12	Facility	26	$37.65	$41.42	$94.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $219.03 / $285.86	Professional		$133.50	$219.03	$285.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $63.40 / $82.13	Professional	26	$35.40	$63.40	$82.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.84 / $159.04 / $204.06	Professional	TC	$95.84	$159.04	$204.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $143.78 / $316.52	Professional		$42.49	$143.78	$316.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $43.24 / $43.24	Facility	26	$43.24	$43.24	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $204.78 / $415.42	Professional		$144.36	$204.78	$415.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $53.11 / $114.34	Professional	26	$35.40	$53.11	$114.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.90 / $152.07 / $301.08	Professional	TC	$107.90	$152.07	$301.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $278.08 / $278.08	Professional		$254.43	$278.08	$278.08
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.45 / $84.81 / $101.32	Professional	26	$62.45	$84.81	$101.32
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.12 / $220.12 / $223.29	Professional	TC	$220.12	$220.12	$223.29
United Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $208.07 / $398.65	Professional		$133.76	$208.07	$398.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.82 / $56.85 / $101.79	Professional	26	$33.82	$56.85	$101.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.96 / $152.38 / $274.16	Professional	TC	$97.96	$152.38	$274.16