Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $7.96 / $11.75	Facility	26	$7.24	$7.96	$11.75
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $237.38 / $306.44 / $665.52	Facility	TC	$237.38	$306.44	$665.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $21.53 / $42.98	Professional		$19.57	$21.53	$42.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $7.96 / $23.00	Professional	26	$6.60	$7.96	$23.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $7.26 / $7.26 / $7.26	Professional	50	$7.26	$7.26	$7.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.34 / $16.76 / $29.33	Professional	TC	$12.34	$16.76	$29.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $21.01 / $44.29	Professional		$10.44	$21.01	$44.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $8.46 / $8.46	Facility	26	$8.46	$8.46	$8.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	TC	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $29.40 / $63.18	Professional		$17.36	$29.40	$63.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.08 / $10.59 / $34.89	Professional	26	$6.08	$10.59	$34.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.28 / $20.98 / $67.05	Professional	TC	$11.28	$20.98	$67.05
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $146.38 / $267.12 / $473.95	Facility	TC	$146.38	$267.12	$473.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $56.18 / $56.18	Professional		$56.18	$56.18	$56.18
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $12.53 / $22.92	Professional	26	$11.73	$12.53	$22.92
United Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $30.56 / $46.23	Professional		$16.19	$30.56	$46.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.57 / $9.67 / $18.14	Professional	26	$5.57	$9.67	$18.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.70 / $19.42 / $33.22	Professional	TC	$10.70	$19.42	$33.22