Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $234.42	Professional		$134.90	$158.49	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $79.43 / $162.18	Professional	26	$70.79	$79.43	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $79.43 / $104.71	Professional	TC	$57.54	$79.43	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $331.13	Professional		$67.61	$138.04	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $89.13 / $128.82	Facility	26	$19.50	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $724.44	Professional		$131.83	$295.12	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $147.91 / $389.05	Professional	26	$75.86	$147.91	$389.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $97.72 / $354.81	Professional	TC	$53.70	$97.72	$354.81
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	26	$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $213.80	Professional		$104.71	$144.54	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $131.83	Professional	26	$64.57	$89.13	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $56.23 / $100.00	Professional	TC	$33.11	$56.23	$100.00