Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.73 / $15.10 / $15.10	Facility	26	$13.73	$15.10	$15.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $251.92 / $392.92 / $606.29	Facility	TC	$251.92	$392.92	$606.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $57.34 / $113.90	Professional		$47.17	$57.34	$113.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.43 / $30.40	Professional	26	$12.59	$15.43	$30.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.84 / $29.84 / $29.84	Professional	50	$29.84	$29.84	$29.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.14 / $39.17 / $79.65	Professional	TC	$33.14	$39.17	$79.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $56.18 / $108.45	Professional		$19.73	$56.18	$108.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.14 / $16.14 / $16.14	Facility	26	$16.14	$16.14	$16.14
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $44.74 / $44.74 / $44.74	Facility	TC	$44.74	$44.74	$44.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $71.34 / $252.57	Professional		$43.09	$71.34	$252.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.61 / $20.56 / $65.50	Professional	26	$11.61	$20.56	$65.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.47 / $50.42 / $187.11	Professional	TC	$31.47	$50.42	$187.11
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $162.97 / $351.13 / $570.71	Facility	TC	$162.97	$351.13	$570.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $140.01 / $140.01	Professional		$140.01	$140.01	$140.01
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.89 / $29.92 / $36.86	Professional	26	$21.89	$29.92	$36.86
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.78 / $71.78 / $71.78	Professional	TC	$71.78	$71.78	$71.78
United Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $59.79 / $115.86	Professional		$37.39	$59.79	$115.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $21.06 / $40.22	Professional	26	$11.88	$21.06	$40.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $40.53 / $75.64	Professional	TC	$26.89	$40.53	$75.64