Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $14.41 / $14.41	Facility	26	$13.10	$14.41	$14.41
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $358.14 / $434.28 / $560.24	Facility	TC	$358.14	$434.28	$560.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $42.91 / $51.98	Professional		$40.57	$42.91	$51.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $15.33 / $28.55	Professional	26	$11.97	$15.33	$28.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.47 / $30.94 / $35.11	Professional	TC	$27.47	$30.94	$35.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.07 / $15.07	Professional		$15.07	$15.07	$15.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $61.08 / $220.34	Professional		$35.72	$61.08	$220.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $23.33 / $78.94	Professional	26	$11.07	$23.33	$78.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $43.41 / $146.58	Professional	TC	$24.65	$43.41	$146.58
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $301.18 / $380.53 / $578.14	Facility	TC	$301.18	$380.53	$578.14
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.65 / $22.79 / $39.13	Professional	26	$22.65	$22.79	$39.13
United Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $60.03 / $101.89	Professional		$35.81	$60.03	$101.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $18.51 / $36.31	Professional	26	$11.56	$18.51	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $42.18 / $65.58	Professional	TC	$23.23	$42.18	$65.58