Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.47 / $79.47 / $79.47	Facility	26	$79.47	$79.47	$79.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $158.63 / $245.66	Professional		$143.08	$158.63	$245.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.61 / $79.47 / $91.69	Professional	26	$71.61	$79.47	$91.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.53 / $79.30 / $87.86	Professional	TC	$60.53	$79.30	$87.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $145.81 / $317.10	Professional		$73.87	$145.81	$317.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.04 / $91.04 / $91.04	Facility	26	$91.04	$91.04	$91.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $151.13 / $527.00	Professional		$89.33	$151.13	$527.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.17 / $101.37 / $306.55	Professional	26	$72.17	$101.37	$306.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.35 / $76.00 / $322.25	Professional	TC	$44.35	$76.00	$322.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.61 / $110.61 / $110.61	Professional	26	$110.61	$110.61	$110.61
United Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $145.77 / $218.81	Professional		$103.66	$145.77	$218.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.02 / $94.72 / $135.90	Professional	26	$64.02	$94.72	$135.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.45 / $65.23 / $100.62	Professional	TC	$33.45	$65.23	$100.62