Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.75 / $16.22 / $24.81	Facility	26	$14.75	$16.22	$24.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $48.42 / $99.41	Professional		$45.13	$48.42	$99.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $23.44 / $33.08	Professional	26	$13.78	$23.44	$33.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.38 / $34.22 / $65.84	Professional	TC	$30.38	$34.22	$65.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $49.63 / $101.34	Professional		$21.84	$49.63	$101.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $65.56 / $233.87	Professional		$40.00	$65.56	$233.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $22.01 / $73.45	Professional	26	$12.46	$22.01	$73.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $43.73 / $162.13	Professional	TC	$27.54	$43.73	$162.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $132.72 / $132.72	Professional		$132.72	$132.72	$132.72
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $25.64 / $40.02	Professional	26	$23.46	$25.64	$40.02
United Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $58.90 / $103.40	Professional		$39.24	$58.90	$103.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $18.39 / $36.92	Professional	26	$10.64	$18.39	$36.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $38.47 / $66.48	Professional	TC	$23.32	$38.47	$66.48