Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.47 / $12.47 / $12.47	Facility	26	$12.47	$12.47	$12.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.72 / $25.72 / $285.00	Facility	TC	$25.72	$25.72	$285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $40.65 / $85.24	Professional		$35.39	$40.65	$85.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.68 / $13.17 / $27.62	Professional	26	$11.68	$13.17	$27.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $27.56 / $56.16	Professional	TC	$22.85	$27.56	$56.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $56.80 / $196.46	Professional		$33.86	$56.80	$196.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.79 / $19.12 / $60.83	Professional	26	$10.79	$19.12	$60.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.08 / $36.92 / $135.63	Professional	TC	$23.08	$36.92	$135.63
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $206.79 / $206.79 / $206.79	Facility	TC	$206.79	$206.79	$206.79
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $20.32 / $20.32	Professional	26	$20.32	$20.32	$20.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $49.83 / $88.24	Professional		$29.88	$49.83	$88.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $19.57 / $87.90	Professional	26	$11.25	$19.57	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $28.05 / $56.28	Professional	TC	$18.41	$28.05	$56.28