Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $11.48	Facility	26	$7.94	$7.94	$11.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $85.11	Professional		$22.91	$33.88	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $26.92	Professional	26	$7.08	$10.00	$26.92
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $33.88 / $54.95	Professional	52	$30.20	$33.88	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $38.02	Professional	TC	$15.14	$20.89	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $40.74 / $154.88	Professional		$22.39	$40.74	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.88 / $48.98	Professional	26	$7.08	$12.88	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $31.62 / $93.33	Professional	TC	$15.14	$31.62	$93.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $15.49 / $23.99	Professional	26	$13.80	$15.49	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $66.07	Professional		$25.12	$35.48	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $19.50	Professional	26	$7.24	$11.22	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.30 / $47.86	Professional	TC	$16.98	$26.30	$47.86