Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.30 / $25.63 / $25.63	Facility	26	$23.30	$25.63	$25.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $48.78 / $91.71	Professional		$41.75	$48.78	$91.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.90 / $25.63 / $50.15	Professional	26	$20.90	$25.63	$50.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.73 / $21.07 / $25.42	Professional	TC	$18.73	$21.07	$25.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $40.44 / $91.21	Professional		$20.93	$40.44	$91.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.99 / $26.99 / $26.99	Facility	26	$26.99	$26.99	$26.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $60.98 / $130.52	Professional		$36.18	$60.98	$130.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $32.85 / $75.69	Professional	26	$19.39	$32.85	$75.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $27.03 / $63.25	Professional	TC	$16.80	$27.03	$63.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $72.31 / $83.98	Professional		$69.84	$72.31	$83.98
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $43.74 / $75.39	Professional	26	$37.65	$43.74	$75.39
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $36.86 / $38.29	Professional	TC	$36.86	$36.86	$38.29
United Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $62.09 / $137.46	Professional		$36.19	$62.09	$137.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $24.82 / $47.86	Professional	26	$16.22	$24.82	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.11 / $27.90 / $89.34	Professional	TC	$17.11	$27.90	$89.34