Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.37 / $24.61 / $24.61	Facility	26	$22.37	$24.61	$24.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $71.01 / $133.88	Professional		$28.64	$71.01	$133.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $49.54 / $71.17	Professional	26	$18.60	$49.54	$71.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.77 / $69.77 / $69.90	Professional	50	$69.77	$69.77	$69.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $11.47 / $31.81	Professional	TC	$9.18	$11.47	$31.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $61.78 / $133.68	Professional		$31.01	$61.78	$133.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $77.34 / $123.37	Professional		$44.23	$77.34	$123.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.39 / $42.70 / $72.37	Professional	26	$26.39	$42.70	$72.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.82 / $28.99 / $59.48	Professional	TC	$13.82	$28.99	$59.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $106.28 / $170.27	Professional		$85.97	$106.28	$170.27
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.19 / $56.79 / $87.91	Professional	26	$51.19	$56.79	$87.91
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.07 / $112.07 / $168.39	Professional	50	$112.07	$112.07	$168.39
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.71 / $53.04 / $57.05	Professional	TC	$49.71	$53.04	$57.05
United Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $47.48 / $87.72	Professional		$27.38	$47.48	$87.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.67 / $24.89 / $49.62	Professional	26	$14.67	$24.89	$49.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.75 / $18.59 / $42.64	Professional	TC	$9.75	$18.59	$42.64