Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $562.34 / $562.34	Facility	26	$14.13	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $107.15	Professional		$34.67	$53.70	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $26.30 / $39.81	Professional	26	$12.88	$26.30	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $69.18	Professional	TC	$24.55	$38.02	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.80 / $17.38 / $25.12	Facility	26	$3.80	$17.38	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $245.47	Professional		$39.81	$70.79	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $21.88 / $75.86	Professional	26	$12.02	$21.88	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $51.29 / $173.78	Professional	TC	$28.18	$51.29	$173.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $26.30 / $40.74	Professional	26	$23.44	$26.30	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $100.00	Professional		$37.15	$56.23	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.78 / $33.11	Professional	26	$11.22	$17.78	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.02 / $70.79	Professional	TC	$26.30	$38.02	$70.79