Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $8.33 / $12.32	Facility	26	$7.58	$8.33	$12.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $30.00 / $111.24	Professional		$16.48	$30.00	$111.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $8.33 / $31.78	Professional	26	$6.89	$8.33	$31.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.02 / $13.82 / $15.00	Professional	52	$13.02	$13.82	$15.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.45 / $22.70 / $47.05	Professional	TC	$18.45	$22.70	$47.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $29.04 / $57.31	Professional		$10.92	$29.04	$57.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $37.71 / $132.50	Professional		$22.89	$37.71	$132.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $11.28 / $38.57	Professional	26	$6.36	$11.28	$38.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.52 / $26.16 / $96.64	Professional	TC	$16.52	$26.16	$96.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $44.82 / $76.09	Professional		$44.82	$44.82	$76.09
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.99 / $13.10 / $20.23	Professional	26	$11.99	$13.10	$20.23
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.69 / $37.69 / $37.69	Professional	TC	$37.69	$37.69	$37.69
United Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $31.15 / $61.74	Professional		$22.74	$31.15	$61.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.44 / $9.73 / $18.98	Professional	26	$5.44	$9.73	$18.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.09 / $21.78 / $40.97	Professional	TC	$13.09	$21.78	$40.97