Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.41 / $15.85 / $15.85	Facility	26	$14.41	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $59.90 / $65.81	Professional		$51.49	$59.90	$65.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $16.52 / $32.84	Professional	26	$13.49	$16.52	$32.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $45.76 / $88.81	Professional	TC	$37.11	$45.76	$88.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $66.02 / $124.51	Professional		$21.36	$66.02	$124.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $82.38 / $289.97	Professional		$49.42	$82.38	$289.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $22.01 / $70.18	Professional	26	$12.44	$22.01	$70.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.97 / $59.20 / $219.84	Professional	TC	$36.97	$59.20	$219.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $111.26 / $111.26	Professional		$111.26	$111.26	$111.26
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $38.90 / $39.70	Professional	26	$23.46	$38.90	$39.70
United Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $71.89 / $125.07	Professional		$47.41	$71.89	$125.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.71 / $19.92 / $36.79	Professional	26	$12.71	$19.92	$36.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.79 / $43.67 / $87.34	Professional	TC	$33.79	$43.67	$87.34