Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.55 / $9.40 / $13.37	Facility	26	$8.55	$9.40	$13.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $31.49 / $34.97	Professional		$25.85	$31.49	$34.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.55 / $36.94	Professional	26	$7.33	$8.55	$36.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.94 / $36.94 / $36.94	Professional	50	$36.94	$36.94	$36.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $23.10 / $26.03	Professional	TC	$18.53	$23.10	$26.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $34.19 / $66.56	Professional		$12.32	$34.19	$66.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $40.20 / $154.34	Professional		$25.43	$40.20	$154.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $12.31 / $40.54	Professional	26	$6.93	$12.31	$40.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.43 / $30.18 / $113.80	Professional	TC	$17.43	$30.18	$113.80
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $28.48 / $45.20	Professional	26	$13.64	$28.48	$45.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $37.28 / $65.92	Professional		$22.81	$37.28	$65.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.97 / $12.55 / $63.91	Professional	26	$5.97	$12.55	$63.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.21 / $22.74 / $43.38	Professional	TC	$16.21	$22.74	$43.38