Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $20.89 / $20.89	Facility	26	$19.05	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $85.11	Professional		$30.90	$42.66	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $51.29	Professional	26	$19.95	$25.12	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.98 / $53.70	Professional	TC	$10.96	$16.98	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $87.10	Professional		$34.67	$53.70	$87.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $38.90	Facility	26	$5.89	$27.54	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $186.21 / $346.74	Professional		$42.66	$186.21	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $69.18 / $128.82	Professional	26	$25.12	$69.18	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $151.36 / $165.96	Professional	TC	$16.98	$151.36	$165.96
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $35.48 / $54.95	Professional	26	$32.36	$35.48	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $120.23	Professional		$34.67	$70.79	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $23.99 / $41.69	Professional	26	$17.38	$23.99	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $43.65 / $77.62	Professional	TC	$13.80	$43.65	$77.62