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 / $15.14	Facility	26	$10.00	$11.48	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $97.72	Professional		$32.36	$40.74	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $18.62 / $25.70	Professional	26	$8.91	$18.62	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $58.88	Professional	TC	$21.88	$28.84	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $38.02 / $81.28	Professional		$14.13	$38.02	$81.28
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 $30.20 / $51.29 / $181.97	Professional		$30.20	$51.29	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $15.14 / $50.12	Professional	26	$8.13	$15.14	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $134.90	Professional	TC	$21.88	$39.81	$134.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $102.33	Professional		$67.61	$67.61	$102.33
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $18.20 / $28.18	Professional	26	$16.60	$18.20	$28.18
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $51.29 / $51.29	Professional	TC	$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $74.13	Professional		$26.30	$38.90	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.48 / $22.39	Professional	26	$7.41	$11.48	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $51.29	Professional	TC	$19.50	$26.92	$51.29