Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.83 / $14.11 / $14.11	Facility	26	$12.83	$14.11	$14.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $42.61 / $55.86	Professional		$34.85	$42.61	$55.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $14.11 / $28.58	Professional	26	$11.73	$14.11	$28.58
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.44 / $21.67 / $24.01	Professional	52	$20.44	$21.67	$24.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $28.05 / $34.61	Professional	TC	$22.26	$28.05	$34.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $45.42 / $91.67	Professional		$18.51	$45.42	$91.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $14.96 / $14.96	Facility	26	$14.96	$14.96	$14.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $56.59 / $212.03	Professional		$36.21	$56.59	$212.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.77 / $18.70 / $60.83	Professional	26	$10.77	$18.70	$60.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.44 / $38.85 / $151.25	Professional	TC	$25.44	$38.85	$151.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.28 / $27.78 / $34.51	Professional	26	$21.28	$27.78	$34.51
United Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $55.75 / $90.67	Professional		$30.07	$55.75	$90.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $18.70 / $87.90	Professional	26	$11.22	$18.70	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $40.11 / $86.60	Professional	TC	$20.05	$40.11	$86.60