Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.89 / $24.07 / $26.74	Facility	26	$21.89	$24.07	$26.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $33.06 / $42.06	Professional		$30.68	$33.06	$42.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $24.07 / $46.92	Professional	26	$20.30	$24.07	$46.92
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.34 / $16.23 / $18.89	Professional	52	$15.34	$16.23	$18.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.92 / $11.26 / $14.80	Professional	TC	$9.92	$11.26	$14.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $31.32 / $72.62	Professional		$12.90	$31.32	$72.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $41.62 / $93.31	Professional		$32.64	$41.62	$93.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.22 / $27.33 / $65.20	Professional	26	$21.22	$27.33	$65.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.11 / $13.97 / $28.10	Professional	TC	$11.11	$13.97	$28.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $45.97 / $46.22	Professional		$42.06	$45.97	$46.22
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.06 / $32.22 / $45.51	Professional	26	$28.06	$32.22	$45.51
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.07 / $16.07 / $16.07	Professional	TC	$16.07	$16.07	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $38.22 / $55.23	Professional		$25.64	$38.22	$55.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $24.46 / $36.92	Professional	26	$16.55	$24.46	$36.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.01 / $12.47 / $18.89	Professional	TC	$8.01	$12.47	$18.89