Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.76 / $12.76 / $12.76	Facility	26	$12.76	$12.76	$12.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $52.74 / $64.45	Professional		$45.00	$52.74	$64.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.68 / $13.74 / $28.49	Professional	26	$11.68	$13.74	$28.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $40.33 / $50.71	Professional	TC	$34.14	$40.33	$50.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $66.48 / $121.52	Professional		$18.98	$66.48	$121.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $73.37 / $283.75	Professional		$44.55	$73.37	$283.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.79 / $19.63 / $62.37	Professional	26	$10.79	$19.63	$62.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.97 / $57.32 / $221.38	Professional	TC	$36.97	$57.32	$221.38
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $22.22 / $34.79	Professional	26	$20.32	$22.22	$34.79
United Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $61.86 / $118.04	Professional		$43.28	$61.86	$118.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $17.98 / $31.96	Professional	26	$10.27	$17.98	$31.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.15 / $41.55 / $83.63	Professional	TC	$31.15	$41.55	$83.63