Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $23.99	Facility	26	$12.02	$12.02	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $97.72 / $147.91	Professional		$42.66	$97.72	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $25.70 / $40.74	Professional	26	$10.96	$25.70	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $58.88 / $81.28	Professional	TC	$32.36	$58.88	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $50.12 / $107.15	Professional		$16.60	$50.12	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $245.47	Professional		$39.81	$69.18	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $18.20 / $75.86	Professional	26	$9.77	$18.20	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $54.95 / $181.97	Professional	TC	$30.20	$54.95	$181.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $134.90 / $138.04	Professional		$45.71	$134.90	$138.04
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $22.39 / $33.11	Professional	26	$19.50	$22.39	$33.11
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $70.79 / $70.79	Professional	TC	$63.10	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $97.72	Professional		$38.90	$54.95	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.85 / $27.54	Professional	26	$10.47	$15.85	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $70.79	Professional	TC	$27.54	$38.90	$70.79