Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.07 / $15.47 / $28.36	Facility	26	$14.07	$15.47	$28.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $67.39 / $121.61	Professional		$55.51	$67.39	$121.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.21 / $17.26 / $31.51	Professional	26	$13.21	$17.26	$31.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.43 / $51.21 / $95.35	Professional	TC	$41.43	$51.21	$95.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $65.55 / $123.12	Professional		$20.87	$65.55	$123.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $84.90 / $286.89	Professional		$48.88	$84.90	$286.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $24.89 / $86.30	Professional	26	$11.90	$24.89	$86.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.97 / $64.65 / $218.30	Professional	TC	$36.97	$64.65	$218.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Professional		$98.15	$98.15	$98.15
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $24.92 / $30.63	Professional	26	$22.42	$24.92	$30.63
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.77 / $80.77 / $80.77	Professional	TC	$80.77	$80.77	$80.77
United Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $84.96 / $159.30	Professional		$48.13	$84.96	$159.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.41 / $22.26 / $38.54	Professional	26	$12.41	$22.26	$38.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.64 / $52.42 / $116.53	Professional	TC	$34.64	$52.42	$116.53