Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.82 / $14.82 / $16.30	Facility	26	$14.82	$14.82	$16.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $74.76 / $148.19	Professional		$60.53	$74.76	$148.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $21.35 / $32.81	Professional	26	$13.49	$21.35	$32.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.50 / $50.05 / $105.62	Professional	TC	$45.50	$50.05	$105.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $77.72 / $140.66	Professional		$21.36	$77.72	$140.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $86.71 / $328.97	Professional		$51.57	$86.71	$328.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $22.01 / $70.18	Professional	26	$12.44	$22.01	$70.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.54 / $69.66 / $258.83	Professional	TC	$43.54	$69.66	$258.83
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $25.64 / $39.82	Professional	26	$20.05	$25.64	$39.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $72.45 / $146.57	Professional		$44.86	$72.45	$146.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $19.30 / $37.69	Professional	26	$10.90	$19.30	$37.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.60 / $66.31 / $103.62	Professional	TC	$38.60	$66.31	$103.62