Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $13.49 / $19.95	Facility	26	$12.02	$13.49	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $97.72	Professional		$38.02	$48.98	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.85 / $32.36	Professional	26	$10.00	$15.85	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $58.88	Professional	TC	$22.91	$32.36	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $14.13 / $20.42	Facility	26	$3.02	$14.13	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $218.78	Professional		$36.31	$60.26	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $17.78 / $60.26	Professional	26	$9.55	$17.78	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $47.86 / $162.18	Professional	TC	$26.30	$47.86	$162.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $79.43	Professional		$74.13	$74.13	$79.43
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $20.89 / $31.62	Professional	26	$19.05	$20.89	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $89.13	Professional		$32.36	$48.98	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.45 / $26.92	Professional	26	$9.12	$14.45	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.11 / $63.10	Professional	TC	$23.44	$33.11	$63.10