Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.26 / $6.89 / $10.11	Facility	26	$6.26	$6.89	$10.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $101.52 / $278.05 / $363.78	Facility	TC	$101.52	$278.05	$363.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $28.78 / $58.65	Professional		$13.50	$28.78	$58.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.70 / $6.45 / $13.90	Professional	26	$5.70	$6.45	$13.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $23.80 / $44.11	Professional	TC	$19.89	$23.80	$44.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $31.85 / $58.29	Professional		$9.05	$31.85	$58.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.31 / $7.31	Facility	26	$7.31	$7.31	$7.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.73 / $25.73 / $25.73	Facility	TC	$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $35.32 / $84.98	Professional		$22.29	$35.32	$84.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $9.35 / $33.06	Professional	26	$5.25	$9.35	$33.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.67 / $106.04	Professional	TC	$17.38	$28.67	$106.04
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $108.00 / $268.02 / $396.47	Facility	TC	$108.00	$268.02	$396.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $76.95 / $77.86	Professional		$75.68	$76.95	$77.86
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $10.82 / $16.71	Professional	26	$9.68	$10.82	$16.71
United Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $28.51 / $59.67	Professional		$20.77	$28.51	$59.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.93 / $7.88 / $15.90	Professional	26	$4.93	$7.88	$15.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.68 / $19.52 / $43.95	Professional	TC	$14.68	$19.52	$43.95