Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.52 / $11.58 / $17.18	Facility	26	$10.52	$11.58	$17.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $77.02 / $82.26	Professional		$35.38	$77.02	$82.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.58 / $23.32	Professional	26	$9.55	$11.58	$23.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.85 / $30.68 / $55.69	Professional	TC	$24.85	$30.68	$55.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $40.28 / $79.36	Professional		$15.15	$40.28	$79.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $51.35 / $113.42	Professional		$30.14	$51.35	$113.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $15.50 / $51.42	Professional	26	$8.86	$15.50	$51.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.82 / $37.40 / $134.09	Professional	TC	$22.82	$37.40	$134.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $102.84 / $105.28	Professional		$62.02	$102.84	$105.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $18.23 / $28.14	Professional	26	$16.68	$18.23	$28.14
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.61 / $47.61 / $47.61	Professional	TC	$47.61	$47.61	$47.61
United Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $44.64 / $81.94	Professional		$26.89	$44.64	$81.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $15.68 / $86.60	Professional	26	$9.15	$15.68	$86.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $34.50 / $62.48	Professional	TC	$21.00	$34.50	$62.48