Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.64 / $16.64 / $16.64	Facility	26	$16.64	$16.64	$16.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $72.25 / $85.07	Professional		$61.64	$72.25	$85.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.29 / $16.30 / $17.93	Professional	26	$15.29	$16.30	$17.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $54.32 / $67.44	Professional	TC	$46.00	$54.32	$67.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $19.12 / $19.12	Professional		$19.12	$19.12	$19.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $19.60 / $19.60	Facility	26	$19.60	$19.60	$19.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $99.81 / $374.18	Professional		$63.15	$99.81	$374.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.10 / $23.99 / $79.53	Professional	26	$14.10	$23.99	$79.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.05 / $76.89 / $294.64	Professional	TC	$49.05	$76.89	$294.64
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.58 / $29.05 / $44.36	Professional	26	$26.58	$29.05	$44.36
United Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $91.28 / $159.22	Professional		$56.78	$91.28	$159.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.77 / $22.86 / $42.70	Professional	26	$13.77	$22.86	$42.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.88 / $60.35 / $112.38	Professional	TC	$41.88	$60.35	$112.38