Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.41 / $15.85 / $15.85	Facility	26	$14.41	$15.85	$15.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.47 / $30.21 / $54.94	Facility	TC	$27.47	$30.21	$54.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $44.43 / $48.37	Professional		$37.95	$44.43	$48.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.16 / $14.44 / $16.69	Professional	26	$13.16	$14.44	$16.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $28.35 / $33.18	Professional	TC	$23.51	$28.35	$33.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Professional		$16.55	$16.55	$16.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
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 $36.57 / $61.09 / $213.57	Professional		$36.57	$61.09	$213.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $21.99 / $68.59	Professional	26	$11.92	$21.99	$68.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $39.11 / $144.99	Professional	TC	$24.65	$39.11	$144.99
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $288.91 / $288.91 / $439.25	Facility	TC	$288.91	$288.91	$439.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $37.17 / $37.17	Professional	26	$22.42	$37.17	$37.17
United Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $54.56 / $100.51	Professional		$34.85	$54.56	$100.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $20.34 / $37.53	Professional	26	$10.94	$20.34	$37.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.87 / $31.12 / $58.06	Professional	TC	$20.87	$31.12	$58.06