Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.55 / $7.21 / $10.60	Facility	26	$6.55	$7.21	$10.60
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $156.97 / $306.44 / $663.64	Facility	TC	$156.97	$306.44	$663.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $36.97 / $78.28	Professional		$14.18	$36.97	$78.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $13.84 / $14.60	Professional	26	$6.03	$13.84	$14.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.73 / $18.48 / $20.39	Professional	52	$16.73	$18.48	$20.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $30.94 / $70.22	Professional	TC	$25.57	$30.94	$70.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $44.48 / $76.41	Professional		$9.47	$44.48	$76.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.66 / $7.66 / $7.66	Facility	26	$7.66	$7.66	$7.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.40 / $35.40 / $35.40	Facility	TC	$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $46.54 / $179.30	Professional		$24.92	$46.54	$179.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.51 / $9.61 / $33.06	Professional	26	$5.51	$9.61	$33.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.64 / $39.00 / $148.12	Professional	TC	$22.64	$39.00	$148.12
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $100.03 / $201.50 / $410.25	Facility	TC	$100.03	$201.50	$410.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $100.04 / $101.15	Professional		$58.59	$100.04	$101.15
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $16.37 / $17.60	Professional	26	$10.76	$16.37	$17.60
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.52 / $65.52 / $65.52	Professional	TC	$65.52	$65.52	$65.52
United Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $32.29 / $74.92	Professional		$20.77	$32.29	$74.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.05 / $8.34 / $17.87	Professional	26	$5.05	$8.34	$17.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $24.88 / $58.47	Professional	TC	$16.22	$24.88	$58.47