Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.49 / $11.53 / $17.18	Facility	26	$10.49	$11.53	$17.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $235.94 / $489.74 / $979.48	Facility	TC	$235.94	$489.74	$979.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $46.55 / $93.62	Professional		$23.40	$46.55	$93.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $23.40 / $47.36	Professional	26	$10.02	$23.40	$47.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.23 / $98.11 / $194.17	Professional	50	$46.23	$98.11	$194.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.73 / $22.57 / $25.15	Professional	52	$20.73	$22.57	$25.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.96 / $38.90 / $70.72	Professional	TC	$30.96	$38.90	$70.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $51.03 / $94.78	Professional		$15.51	$51.03	$94.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.66 / $12.66 / $12.66	Facility	26	$12.66	$12.66	$12.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $40.63 / $40.63 / $40.63	Facility	TC	$40.63	$40.63	$40.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $57.23 / $221.38	Professional		$35.99	$57.23	$221.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $16.02 / $51.43	Professional	26	$9.11	$16.02	$51.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $43.96 / $169.95	Professional	TC	$25.96	$43.96	$169.95
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $113.50 / $293.27 / $478.83	Facility	TC	$113.50	$293.27	$478.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $124.90 / $125.64	Professional		$123.53	$124.90	$125.64
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $19.73 / $29.20	Professional	26	$16.80	$19.73	$29.20
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.20 / $65.20 / $65.20	Professional	TC	$65.20	$65.20	$65.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $42.14 / $92.52	Professional		$32.03	$42.14	$92.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $13.03 / $26.25	Professional	26	$8.53	$13.03	$26.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.49 / $33.88 / $63.55	Professional	TC	$23.49	$33.88	$63.55