Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $9.33 / $9.33	Facility	26	$7.94	$9.33	$9.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $53.70	Professional		$18.20	$25.70	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.49 / $25.70	Professional	26	$7.08	$13.49	$25.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $58.88 / $58.88 / $58.88	Professional	50	$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $15.85 / $35.48	Professional	TC	$12.02	$15.85	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $18.20 / $33.88	Professional		$8.91	$18.20	$33.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $9.77 / $14.13	Facility	26	$2.14	$9.77	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.88 / $125.89	Professional		$18.62	$33.88	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $12.30 / $41.69	Professional	26	$6.76	$12.30	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $25.12 / $72.44	Professional	TC	$11.75	$25.12	$72.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $14.79 / $22.91	Professional	26	$13.18	$14.79	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $56.23	Professional		$20.42	$30.20	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.00 / $18.62	Professional	26	$6.17	$10.00	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.95 / $37.15	Professional	TC	$12.88	$19.95	$37.15