Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $23.99 / $23.99	Facility	26	$20.89	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $85.11	Professional		$28.84	$37.15	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.30 / $53.70	Professional	26	$19.95	$26.30	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $11.75 / $18.20	Professional	TC	$8.91	$11.75	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $27.54 / $63.10	Professional		$11.48	$27.54	$63.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.37 / $25.12 / $35.48	Facility	26	$5.37	$25.12	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $162.18	Professional		$32.36	$43.65	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.84 / $102.33	Professional	26	$20.89	$28.84	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $14.79 / $58.88	Professional	TC	$10.96	$14.79	$58.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $45.71	Professional		$43.65	$45.71	$45.71
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $32.36 / $45.71	Professional	26	$27.54	$32.36	$45.71
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $16.22 / $17.78	Professional	TC	$16.22	$16.22	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $57.54	Professional		$25.70	$35.48	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.12 / $38.02	Professional	26	$17.78	$25.12	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.51 / $12.02 / $19.95	Professional	TC	$8.51	$12.02	$19.95