Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.50 / $9.35 / $10.60	Facility	26	$8.50	$9.35	$10.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $25.34 / $33.65	Professional		$21.71	$25.34	$33.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $8.55 / $18.36	Professional	26	$7.83	$8.55	$18.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.21 / $16.37 / $24.25	Professional	TC	$13.21	$16.37	$24.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $23.25 / $49.03	Professional		$12.24	$23.25	$49.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $35.36 / $123.03	Professional		$19.23	$35.36	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $12.65 / $40.54	Professional	26	$7.17	$12.65	$40.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.06 / $25.97 / $71.72	Professional	TC	$12.06	$25.97	$71.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $63.32 / $63.32	Professional		$63.32	$63.32	$63.32
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $14.81 / $23.00	Professional	26	$13.24	$14.81	$23.00
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.18 / $25.18 / $25.18	Professional	TC	$25.18	$25.18	$25.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $33.83 / $59.41	Professional		$19.55	$33.83	$59.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $10.57 / $21.29	Professional	26	$6.60	$10.57	$21.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.89 / $20.23 / $38.94	Professional	TC	$13.89	$20.23	$38.94