Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.83 / $10.83 / $13.49	Facility	26	$10.83	$10.83	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $277.30 / $342.16 / $460.60	Facility	TC	$277.30	$342.16	$460.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $73.17 / $77.47	Professional		$32.64	$73.17	$77.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $20.39 / $23.91	Professional	26	$10.31	$20.39	$23.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.82 / $38.88 / $52.43	Professional	TC	$21.82	$38.88	$52.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $36.74 / $74.86	Professional		$15.57	$36.74	$74.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $48.84 / $173.04	Professional		$29.33	$48.84	$173.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $15.89 / $51.43	Professional	26	$8.86	$15.89	$51.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $32.85 / $121.61	Professional	TC	$20.46	$32.85	$121.61
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $165.30 / $292.95 / $446.98	Facility	TC	$165.30	$292.95	$446.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $95.07 / $97.33	Professional		$61.68	$95.07	$97.33
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.75 / $18.46 / $28.69	Professional	26	$16.75	$18.46	$28.69
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.67 / $46.67 / $46.67	Professional	TC	$46.67	$46.67	$46.67
United Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $43.36 / $76.87	Professional		$27.82	$43.36	$76.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $15.85 / $26.79	Professional	26	$9.11	$15.85	$26.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $26.31 / $49.25	Professional	TC	$16.03	$26.31	$49.25