Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.04 / $3.35 / $6.21	Facility	26	$3.04	$3.35	$6.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $39.09 / $46.51	Professional		$21.64	$39.09	$46.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $4.46 / $6.61	Professional	26	$2.82	$4.46	$6.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.82 / $11.33 / $14.58	Professional	52	$10.82	$11.33	$14.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.59 / $25.39 / $37.18	Professional	TC	$18.59	$25.39	$37.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $20.62 / $44.68	Professional		$3.38	$20.62	$44.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $3.49 / $3.49	Facility	26	$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $33.67 / $132.44	Professional		$21.77	$33.67	$132.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $4.79 / $10.29	Professional	26	$2.95	$4.79	$10.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $28.88 / $123.89	Professional	TC	$18.82	$28.88	$123.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.22 / $5.30 / $5.79	Professional	26	$5.22	$5.30	$5.79
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.64 / $35.64 / $35.64	Professional	TC	$35.64	$35.64	$35.64
United Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $47.99 / $167.29	Professional		$19.80	$47.99	$167.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.83 / $4.07 / $6.83	Professional	26	$2.83	$4.07	$6.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $38.77 / $159.74	Professional	TC	$16.98	$38.77	$159.74