Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.88 / $10.86 / $10.86	Facility	26	$9.88	$10.86	$10.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $28.88 / $80.69	Professional		$22.48	$28.88	$80.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.38 / $10.86	Professional	26	$8.36	$9.38	$10.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $18.61 / $70.37	Professional	TC	$12.59	$18.61	$70.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $30.34 / $52.56	Professional		$13.28	$30.34	$52.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $5.59 / $5.59 / $5.59	Facility	53	$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $49.87 / $553.37	Professional		$20.07	$49.87	$553.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.72 / $44.22	Professional	26	$7.76	$13.72	$44.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.33 / $30.39 / $218.36	Professional	TC	$12.33	$30.39	$218.36
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $9.32 / $14.48	Professional	26	$8.52	$9.32	$14.48
United Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $46.92 / $195.49	Professional		$19.28	$46.92	$195.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $13.76 / $23.10	Professional	26	$6.25	$13.76	$23.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.43 / $33.52 / $175.49	Professional	TC	$10.43	$33.52	$175.49