Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.79 / $43.79 / $43.79	Facility	26	$43.79	$43.79	$43.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $86.17 / $96.14	Professional		$75.52	$86.17	$96.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $42.21 / $47.45	Professional	26	$38.81	$42.21	$47.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.71 / $41.90 / $48.69	Professional	TC	$36.71	$41.90	$48.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $43.34 / $87.29	Professional		$41.03	$43.34	$87.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	26	$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $91.30 / $315.85	Professional		$68.03	$91.30	$315.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.42 / $56.54 / $166.56	Professional	26	$39.42	$56.54	$166.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.50 / $43.35 / $149.29	Professional	TC	$25.50	$43.35	$149.29
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.92 / $57.92 / $57.92	Professional	26	$57.92	$57.92	$57.92
United Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $80.36 / $122.94	Professional		$56.25	$80.36	$122.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $52.55 / $76.33	Professional	26	$33.75	$52.55	$76.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $28.96 / $50.57	Professional	TC	$18.60	$28.96	$50.57