Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $12.27 / $18.80	Facility	26	$11.16	$12.27	$18.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $51.31 / $56.34	Professional		$43.78	$51.31	$56.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.17 / $11.16 / $24.21	Professional	26	$10.17	$11.16	$24.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $41.14 / $44.63	Professional	TC	$33.15	$41.14	$44.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $12.84 / $12.84	Professional		$12.84	$12.84	$12.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $65.95 / $247.89	Professional		$42.20	$65.95	$247.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $17.10 / $53.26	Professional	26	$9.41	$17.10	$53.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.44 / $52.51 / $194.87	Professional	TC	$32.44	$52.51	$194.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $82.88 / $82.88	Professional		$82.88	$82.88	$82.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.72 / $24.22 / $30.09	Professional	26	$17.72	$24.22	$30.09
United Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $55.94 / $108.97	Professional		$38.35	$55.94	$108.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $14.39 / $28.67	Professional	26	$8.02	$14.39	$28.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.91 / $37.13 / $78.45	Professional	TC	$26.91	$37.13	$78.45