Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.16 / $29.87 / $42.58	Facility	26	$27.16	$29.87	$42.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $88.15 / $120.51	Professional		$53.77	$88.15	$120.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $27.36 / $60.15	Professional	26	$23.46	$27.36	$60.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.72 / $27.03 / $45.66	Professional	52	$26.72	$27.03	$45.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $55.88 / $69.59	Professional	TC	$26.89	$55.88	$69.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $58.10 / $120.01	Professional		$27.44	$58.10	$120.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.97 / $30.97 / $30.97	Facility	26	$30.97	$30.97	$30.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $80.23 / $233.39	Professional		$47.07	$80.23	$233.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $35.95 / $79.65	Professional	26	$22.20	$35.95	$79.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $52.02 / $153.74	Professional	TC	$25.20	$52.02	$153.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.89 / $90.89 / $99.90	Professional		$90.89	$90.89	$99.90
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $46.89 / $72.59	Professional	26	$13.57	$46.89	$72.59
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.45 / $53.45 / $53.45	Professional	TC	$53.45	$53.45	$53.45
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $79.44 / $152.91	Professional		$48.65	$79.44	$152.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $28.83 / $50.31	Professional	26	$18.64	$28.83	$50.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.38 / $50.96 / $98.36	Professional	TC	$32.38	$50.96	$98.36