Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.91 / $9.77	Facility	26	$7.94	$8.91	$9.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $295.12 / $660.69	Facility	TC	$22.39	$295.12	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $69.18	Professional		$19.05	$30.20	$69.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $22.39	Professional	26	$7.59	$10.96	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $47.86	Professional	TC	$18.20	$23.99	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $31.62 / $69.18	Professional		$11.75	$31.62	$69.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.62 / $26.30 / $38.02	Facility	TC	$5.62	$26.30	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $43.65 / $154.88	Professional		$24.55	$43.65	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.88 / $41.69	Professional	26	$7.08	$12.88	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.84 / $114.82	Professional	TC	$17.38	$28.84	$114.82
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $158.49 / $263.03 / $363.08	Facility	TC	$158.49	$263.03	$363.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $15.49 / $23.99	Professional	26	$13.80	$15.49	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $61.66	Professional		$22.91	$33.11	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.96 / $19.50	Professional	26	$6.92	$10.96	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.39 / $42.66	Professional	TC	$15.85	$22.39	$42.66