Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.07 / $14.07 / $14.07	Facility	26	$14.07	$14.07	$14.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $49.74 / $61.59	Professional		$45.61	$49.74	$61.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $14.07 / $30.58	Professional	26	$12.87	$14.07	$30.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.54 / $36.86 / $46.51	Professional	TC	$31.54	$36.86	$46.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $15.84	Professional		$15.84	$15.84	$15.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.20 / $16.20 / $16.20	Facility	26	$16.20	$16.20	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $74.17 / $252.57	Professional		$42.58	$74.17	$252.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $20.46 / $65.50	Professional	26	$11.64	$20.46	$65.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.95 / $54.01 / $187.11	Professional	TC	$30.95	$54.01	$187.11
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.54 / $24.54 / $37.22	Professional	26	$24.54	$24.54	$37.22
United Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $65.34 / $113.32	Professional		$32.46	$65.34	$113.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $19.45 / $34.50	Professional	26	$9.84	$19.45	$34.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.19 / $49.57 / $83.68	Professional	TC	$30.19	$49.57	$83.68