Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $11.48 / $17.38	Facility	26	$10.00	$11.48	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $77.62	Professional		$30.90	$41.69	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.60 / $26.30	Professional	26	$8.91	$16.60	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $60.26	Professional	TC	$21.88	$30.20	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $38.90 / $85.11	Professional		$14.13	$38.90	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.54 / $199.53	Professional		$31.62	$57.54	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $15.49 / $53.70	Professional	26	$8.32	$15.49	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $46.77 / $141.25	Professional	TC	$22.91	$46.77	$141.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $18.20 / $27.54	Professional	26	$16.60	$18.20	$27.54
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $53.70 / $53.70	Professional	TC	$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $83.18	Professional		$32.36	$47.86	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.30 / $22.91	Professional	26	$7.94	$12.30	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $64.57	Professional	TC	$21.88	$35.48	$64.57