Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.00 / $19.80 / $19.80	Facility	26	$18.00	$19.80	$19.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $97.79 / $128.18	Professional		$80.72	$97.79	$128.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.83 / $19.80 / $39.75	Professional	26	$15.83	$19.80	$39.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.44 / $81.95 / $108.74	Professional	TC	$73.44	$81.95	$108.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $125.40 / $193.84	Professional		$27.01	$125.40	$193.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.50 / $20.50 / $20.50	Facility	26	$20.50	$20.50	$20.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $125.39 / $453.71	Professional		$77.37	$125.39	$453.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $26.04 / $84.21	Professional	26	$14.68	$26.04	$84.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.21 / $94.34 / $369.50	Professional	TC	$61.21	$94.34	$369.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $31.70 / $31.70	Professional		$31.70	$31.70	$31.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.62 / $30.19 / $46.97	Professional	26	$27.62	$30.19	$46.97
United Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $92.09 / $202.90	Professional		$69.36	$92.09	$202.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.52 / $18.84 / $38.26	Professional	26	$12.52	$18.84	$38.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.67 / $71.79 / $158.77	Professional	TC	$50.67	$71.79	$158.77