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 $27.71 / $30.50 / $65.06	Professional		$27.71	$30.50	$65.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $17.96 / $18.92	Professional	26	$7.78	$17.96	$18.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.93 / $42.43	Professional	TC	$17.57	$21.93	$42.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $31.85 / $63.35	Professional		$12.32	$31.85	$63.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $38.29 / $146.58	Professional		$25.03	$38.29	$146.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $12.31 / $40.54	Professional	26	$7.19	$12.31	$40.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $28.67 / $106.04	Professional	TC	$16.64	$28.67	$106.04
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $14.72 / $23.00	Professional	26	$12.75	$14.72	$23.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $35.50 / $63.50	Professional		$21.86	$35.50	$63.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $10.37 / $21.41	Professional	26	$6.60	$10.37	$21.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $24.68 / $40.97	Professional	TC	$15.28	$24.68	$40.97