Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.83 / $8.84 / $9.72	Facility	26	$8.83	$8.84	$9.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $77.26 / $322.42 / $720.04	Facility	TC	$77.26	$322.42	$720.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $29.32 / $67.36	Professional		$19.23	$29.32	$67.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $9.72 / $19.64	Professional	26	$8.11	$9.72	$19.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $23.70 / $48.29	Professional	TC	$19.71	$23.70	$48.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $34.19 / $67.22	Professional		$12.72	$34.19	$67.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $27.15	Facility	TC	$27.15	$27.15	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $43.36 / $155.93	Professional		$26.34	$43.36	$155.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $12.94 / $42.08	Professional	26	$7.45	$12.94	$42.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.88 / $30.42 / $113.80	Professional	TC	$18.88	$30.42	$113.80
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $150.69 / $291.68 / $343.00	Facility	TC	$150.69	$291.68	$343.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $87.95 / $87.95	Professional		$87.95	$87.95	$87.95
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.29 / $23.34 / $23.75	Professional	26	$15.29	$23.34	$23.75
United Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $34.76 / $67.54	Professional		$21.13	$34.76	$67.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $11.28 / $22.14	Professional	26	$7.48	$11.28	$22.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.41 / $24.12 / $45.25	Professional	TC	$16.41	$24.12	$45.25