Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $17.60 / $31.10	Facility	26	$17.60	$17.60	$31.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $68.20 / $110.19	Professional		$48.01	$68.20	$110.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $29.11 / $37.79	Professional	26	$16.35	$29.11	$37.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.41 / $40.72 / $57.37	Professional	TC	$30.41	$40.72	$57.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $43.82 / $101.60	Professional		$19.62	$43.82	$101.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.10 / $20.10 / $20.10	Facility	26	$20.10	$20.10	$20.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $75.36 / $140.38	Professional		$47.83	$75.36	$140.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.97 / $26.01 / $51.82	Professional	26	$16.97	$26.01	$51.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.86 / $47.60 / $88.77	Professional	TC	$30.86	$47.60	$88.77
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.10 / $42.10 / $42.10	Professional	TC	$42.10	$42.10	$42.10
United Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $78.29 / $161.66	Professional		$44.06	$78.29	$161.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.46 / $22.41 / $37.84	Professional	26	$15.46	$22.41	$37.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.15 / $49.93 / $100.88	Professional	TC	$26.15	$49.93	$100.88