Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.59 / $12.59	Facility	26	$12.02	$12.59	$12.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $389.05 / $467.74	Facility	TC	$26.30	$389.05	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $83.18	Professional		$30.90	$39.81	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.85 / $30.90	Professional	26	$10.00	$15.85	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.92 / $51.29	Professional	TC	$20.89	$26.92	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.92 / $32.36 / $46.77	Facility	TC	$6.92	$32.36	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $56.23 / $199.53	Professional		$30.90	$56.23	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $18.20 / $58.88	Professional	26	$9.55	$18.20	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $141.25	Professional	TC	$21.88	$35.48	$141.25
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $45.71 / $338.84 / $436.52	Facility	TC	$45.71	$338.84	$436.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $20.89 / $21.88	Professional	26	$19.50	$20.89	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $79.43	Professional		$30.20	$44.67	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.49 / $27.54	Professional	26	$9.77	$15.49	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $53.70	Professional	TC	$20.42	$28.18	$53.70