Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $14.13 / $23.99	Facility	26	$12.02	$14.13	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $147.91	Professional		$42.66	$74.13	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $26.30 / $40.74	Professional	26	$10.96	$26.30	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $57.54 / $85.11	Professional	TC	$32.36	$57.54	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $51.29 / $112.20	Professional		$16.98	$51.29	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $14.79 / $21.38	Facility	26	$3.16	$14.79	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $251.19	Professional		$39.81	$72.44	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $18.62 / $75.86	Professional	26	$10.00	$18.62	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $53.70 / $190.55	Professional	TC	$30.90	$53.70	$190.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $21.88 / $33.88	Professional	26	$19.95	$21.88	$33.88
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	TC	$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $100.00	Professional		$38.90	$56.23	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.85 / $28.18	Professional	26	$10.47	$15.85	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.02 / $70.79	Professional	TC	$26.92	$38.02	$70.79