Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.75 / $14.03 / $23.77	Facility	26	$12.75	$14.03	$23.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $57.37 / $111.25	Professional		$47.80	$57.37	$111.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $15.96 / $28.01	Professional	26	$12.23	$15.96	$28.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.03 / $76.81 / $82.52	Professional	TC	$35.03	$76.81	$82.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $57.59 / $108.22	Professional		$18.35	$57.59	$108.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $68.59 / $153.24	Professional		$39.68	$68.59	$153.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $21.44 / $73.45	Professional	26	$10.52	$21.44	$73.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.26 / $48.51 / $191.79	Professional	TC	$32.26	$48.51	$191.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $141.69 / $142.47	Professional		$139.13	$141.69	$142.47
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $32.85 / $33.93	Professional	26	$19.80	$32.85	$33.93
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.45 / $70.45 / $70.45	Professional	TC	$70.45	$70.45	$70.45
United Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $62.31 / $107.14	Professional		$41.03	$62.31	$107.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $20.70 / $86.60	Professional	26	$11.25	$20.70	$86.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $48.86 / $82.96	Professional	TC	$27.87	$48.86	$82.96