Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.87 / $7.87 / $7.87	Facility	26	$7.87	$7.87	$7.87
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $197.40 / $232.18 / $276.36	Facility	TC	$197.40	$232.18	$276.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $28.29 / $31.43	Professional		$25.17	$28.29	$31.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $7.87 / $17.44	Professional	26	$7.22	$7.87	$17.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $20.32 / $23.17	Professional	TC	$17.67	$20.32	$23.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $40.04 / $138.77	Professional		$23.41	$40.04	$138.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.62 / $11.50 / $37.40	Professional	26	$6.62	$11.50	$37.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.79 / $27.41 / $101.36	Professional	TC	$16.79	$27.41	$101.36
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $388.00 / $388.00 / $388.00	Facility	TC	$388.00	$388.00	$388.00
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.51 / $21.23	Professional	26	$8.51	$12.51	$21.23
United Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $41.33 / $66.02	Professional		$23.20	$41.33	$66.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $11.21 / $20.10	Professional	26	$6.64	$11.21	$20.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $24.53 / $42.48	Professional	TC	$15.28	$24.53	$42.48