Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.65 / $33.65 / $33.65	Facility	26	$33.65	$33.65	$33.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $98.50 / $113.56	Professional		$70.73	$98.50	$113.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.58 / $33.65 / $52.84	Professional	26	$29.58	$33.65	$52.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.33 / $64.84 / $76.67	Professional	TC	$36.33	$64.84	$76.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $88.27 / $204.67	Professional		$37.82	$88.27	$204.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $38.61 / $38.61	Facility	26	$38.61	$38.61	$38.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $97.85 / $247.92	Professional		$62.75	$97.85	$247.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.63 / $43.54 / $126.62	Professional	26	$30.63	$43.54	$126.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.77 / $66.77 / $171.24	Professional	TC	$21.77	$66.77	$171.24
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.17 / $49.17 / $49.17	Professional	26	$49.17	$49.17	$49.17
United Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $77.56 / $126.13	Professional		$51.43	$77.56	$126.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.52 / $40.65 / $58.42	Professional	26	$27.52	$40.65	$58.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $33.65 / $72.51	Professional	TC	$16.80	$33.65	$72.51