Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.78 / $12.96 / $12.96	Facility	26	$11.78	$12.96	$12.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $52.63 / $71.40	Professional		$49.43	$52.63	$71.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.93 / $13.95 / $25.57	Professional	26	$10.93	$13.95	$25.57
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.72 / $25.92 / $30.57	Professional	52	$24.72	$25.92	$30.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.65 / $41.39 / $54.43	Professional	TC	$37.65	$41.39	$54.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $51.82 / $113.65	Professional		$13.28	$51.82	$113.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $66.61 / $134.04	Professional		$52.47	$66.61	$134.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $15.01 / $35.10	Professional	26	$11.43	$15.01	$35.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.04 / $51.55 / $98.94	Professional	TC	$41.04	$51.55	$98.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $69.28 / $69.28	Professional		$69.28	$69.28	$69.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $15.95 / $24.36	Professional	26	$11.79	$15.95	$24.36
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.59 / $57.59 / $79.51	Professional	TC	$57.59	$57.59	$79.51
United Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $60.13 / $94.64	Professional		$41.08	$60.13	$94.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $13.45 / $20.50	Professional	26	$9.23	$13.45	$20.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.62 / $44.56 / $80.19	Professional	TC	$30.62	$44.56	$80.19