Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $11.48 / $17.38	Facility	26	$10.00	$11.48	$17.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $100.00 / $457.09 / $912.01	Facility	TC	$100.00	$457.09	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $46.77 / $131.83	Professional		$22.91	$46.77	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $23.44 / $47.86	Professional	26	$9.33	$23.44	$47.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $87.10 / $275.42	Professional	50	$43.65	$87.10	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $46.77 / $81.28	Professional	TC	$28.18	$46.77	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $45.71 / $97.72	Professional		$14.45	$45.71	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.69 / $12.59 / $17.78	Facility	26	$2.69	$12.59	$17.78
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $8.51 / $39.81 / $56.23	Facility	TC	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $223.87	Professional		$34.67	$61.66	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $15.49 / $53.70	Professional	26	$8.51	$15.49	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $50.12 / $169.82	Professional	TC	$25.70	$50.12	$169.82
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $120.23 / $295.12 / $501.19	Facility	TC	$120.23	$295.12	$501.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.88 / $28.84	Professional	26	$16.98	$21.88	$28.84
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	TC	$64.57	$64.57	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $85.11	Professional		$29.51	$42.66	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $22.91	Professional	26	$7.94	$12.59	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $63.10	Professional	TC	$21.38	$30.90	$63.10