Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $19.50 / $19.50	Facility	26	$16.98	$19.50	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $190.55	Professional		$50.12	$63.10	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.39 / $75.86	Professional	26	$15.85	$22.39	$75.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $28.84 / $177.83	Professional	50	$28.84	$28.84	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $43.65 / $64.57	Professional	TC	$34.67	$43.65	$64.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $50.12 / $123.03	Professional		$17.78	$50.12	$123.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.37 / $20.42 / $29.51	Facility	26	$4.37	$20.42	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $281.84	Professional		$56.23	$83.18	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.18 / $85.11	Professional	26	$17.38	$28.18	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $57.54 / $194.98	Professional	TC	$38.02	$57.54	$194.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $123.03	Professional		$74.13	$74.13	$123.03
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.02 / $85.11	Professional	26	$24.55	$38.02	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $95.50	Professional		$47.86	$67.61	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.38 / $30.20	Professional	26	$14.79	$21.38	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $46.77 / $66.07	Professional	TC	$32.36	$46.77	$66.07