Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.47 / $12.47 / $12.47	Facility	26	$12.47	$12.47	$12.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $367.54 / $391.04 / $471.88	Facility	TC	$367.54	$391.04	$471.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $41.31 / $83.85	Professional		$35.22	$41.31	$83.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $13.49 / $27.60	Professional	26	$11.35	$13.49	$27.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $27.96 / $32.11	Professional	TC	$23.17	$27.96	$32.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $33.92	Facility	TC	$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $57.16 / $199.55	Professional		$34.39	$57.16	$199.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $18.60 / $59.24	Professional	26	$10.52	$18.60	$59.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $38.17 / $140.31	Professional	TC	$23.87	$38.17	$140.31
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $45.20 / $276.30 / $423.22	Facility	TC	$45.20	$276.30	$423.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $67.23 / $67.23	Professional		$67.23	$67.23	$67.23
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $20.51 / $21.65	Professional	26	$12.35	$20.51	$21.65
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $50.25 / $84.44	Professional		$27.88	$50.25	$84.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $17.94 / $35.85	Professional	26	$9.69	$17.94	$35.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.32 / $33.00 / $57.23	Professional	TC	$21.32	$33.00	$57.23