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 $113.86 / $131.60 / $181.50	Professional		$113.86	$131.60	$181.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.09 / $43.79 / $52.28	Professional	26	$40.09	$43.79	$52.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.30 / $83.85 / $132.30	Professional	TC	$71.30	$83.85	$132.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $49.38 / $117.23	Professional		$46.74	$49.38	$117.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.38 / $50.38 / $50.38	Facility	26	$50.38	$50.38	$50.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $144.49 / $567.40	Professional		$107.00	$144.49	$567.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.71 / $57.61 / $172.15	Professional	26	$39.71	$57.61	$172.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.59 / $86.16 / $346.12	Professional	TC	$61.59	$86.16	$346.12
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.36 / $58.36 / $58.36	Professional	26	$58.36	$58.36	$58.36
United Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $130.10 / $200.72	Professional		$92.96	$130.10	$200.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.32 / $54.66 / $78.43	Professional	26	$34.32	$54.66	$78.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.45 / $73.28 / $122.74	Professional	TC	$54.45	$73.28	$122.74