Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.23 / $10.15 / $15.56	Facility	26	$9.23	$10.15	$15.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $70.59 / $104.61	Professional		$33.20	$70.59	$104.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $10.82 / $20.50	Professional	26	$8.85	$10.82	$20.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.98 / $32.11 / $96.77	Professional	TC	$23.98	$32.11	$96.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $42.14 / $79.06	Professional		$13.28	$42.14	$79.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $75.02 / $321.44	Professional		$31.10	$75.02	$321.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.72 / $43.67	Professional	26	$7.76	$13.72	$43.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.34 / $56.18 / $194.48	Professional	TC	$23.34	$56.18	$194.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $62.54 / $68.34	Professional		$62.54	$62.54	$68.34
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.45 / $24.82 / $25.20	Professional	26	$15.45	$24.82	$25.20
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.59 / $54.59 / $54.59	Professional	TC	$54.59	$54.59	$54.59
United Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $80.12 / $172.80	Professional		$32.08	$80.12	$172.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $12.65 / $23.10	Professional	26	$6.60	$12.65	$23.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $58.44 / $145.31	Professional	TC	$23.23	$58.44	$145.31