Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.48 / $30.48 / $30.48	Facility	26	$30.48	$30.48	$30.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.85 / $49.48	Professional		$41.69	$45.85	$49.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.71 / $72.02 / $146.65	Professional	26	$27.71	$72.02	$146.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.97 / $18.19 / $40.64	Professional	TC	$13.97	$18.19	$40.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $52.72 / $117.11	Professional		$27.83	$52.72	$117.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.29 / $50.29 / $50.29	Facility	26	$50.29	$50.29	$50.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $28.04 / $87.32	Professional		$24.94	$28.04	$87.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.19 / $17.03 / $59.45	Professional	26	$15.19	$17.03	$59.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.27 / $11.77 / $27.87	Professional	TC	$9.27	$11.77	$27.87
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.99 / $46.89 / $64.73	Professional	26	$38.99	$46.89	$64.73
United Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $44.47 / $80.04	Professional		$28.99	$44.47	$80.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.30 / $32.06 / $52.54	Professional	26	$19.30	$32.06	$52.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.08 / $16.26 / $29.70	Professional	TC	$10.08	$16.26	$29.70