Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.52 / $9.52 / $9.52	Facility	26	$9.52	$9.52	$9.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $30.09 / $33.86	Professional		$25.76	$30.09	$33.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $9.51 / $19.91	Professional	26	$8.69	$9.51	$19.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $20.29 / $24.24	Professional	TC	$17.28	$20.29	$24.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $31.85 / $64.83	Professional		$13.28	$31.85	$64.83
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 $25.33 / $43.32 / $149.90	Professional		$25.33	$43.32	$149.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.63 / $43.67	Professional	26	$7.76	$13.63	$43.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $29.62 / $106.04	Professional	TC	$17.57	$29.62	$106.04
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.36 / $24.82 / $25.26	Professional	26	$16.36	$24.82	$25.26
United Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $43.26 / $73.87	Professional		$21.08	$43.26	$73.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.33 / $13.50 / $77.51	Professional	26	$6.33	$13.50	$77.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.03 / $29.38 / $45.71	Professional	TC	$14.03	$29.38	$45.71