Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $13.80 / $28.18	Facility	26	$12.88	$13.80	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $158.49	Professional		$51.29	$74.13	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $29.51 / $60.26	Professional	26	$12.02	$29.51	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $48.98 / $97.72	Professional	TC	$31.62	$48.98	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $60.26 / $128.82	Professional		$19.05	$60.26	$128.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.55 / $16.60 / $23.44	Facility	26	$3.55	$16.60	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $288.40	Professional		$47.86	$85.11	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $20.89 / $87.10	Professional	26	$11.22	$20.89	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $67.61 / $223.87	Professional	TC	$36.31	$67.61	$223.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $162.18	Professional		$102.33	$162.18	$162.18
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $37.15 / $38.02	Professional	26	$22.91	$37.15	$38.02
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	TC	$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $120.23	Professional		$45.71	$66.07	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.62 / $32.36	Professional	26	$12.30	$18.62	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $47.86 / $89.13	Professional	TC	$33.88	$47.86	$89.13