Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $15.90 / $15.90	Facility	26	$14.46	$15.90	$15.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $43.63 / $67.59	Professional		$36.97	$43.63	$67.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.45 / $14.91 / $32.35	Professional	26	$13.45	$14.91	$32.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.52 / $28.18 / $51.77	Professional	TC	$22.52	$28.18	$51.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $17.14 / $17.14	Professional		$17.14	$17.14	$17.14
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 $33.18 / $62.34 / $244.53	Professional		$33.18	$62.34	$244.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $22.13 / $75.28	Professional	26	$12.46	$22.13	$75.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.72 / $46.63 / $192.20	Professional	TC	$20.72	$46.63	$192.20
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.64 / $38.90 / $39.47	Professional	26	$25.64	$38.90	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $64.14 / $128.72	Professional		$33.19	$64.14	$128.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.89 / $19.84 / $37.69	Professional	26	$10.89	$19.84	$37.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $49.08 / $138.10	Professional	TC	$19.05	$49.08	$138.10