Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $104.71 / $109.65	Facility		$11.75	$104.71	$109.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $8.13 / $8.13	Facility	26	$7.08	$8.13	$8.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.50 / $33.88	Professional		$9.77	$19.50	$33.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $16.60	Professional	26	$6.03	$8.91	$16.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.89 / $7.24	Professional	TC	$3.02	$3.89	$7.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $9.33 / $16.22	Facility		$3.63	$9.33	$16.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $8.71 / $18.20	Professional		$3.47	$8.71	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $52.48	Facility		$14.45	$17.78	$52.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.30	Facility	26	$1.86	$8.71	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.60 / $54.95	Professional		$9.12	$16.60	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $11.22 / $41.69	Professional	26	$6.17	$11.22	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $5.13 / $16.98	Professional	TC	$2.82	$5.13	$16.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $83.18	Facility		$75.86	$75.86	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.75 / $23.44	Professional		$9.12	$11.75	$23.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.51 / $16.60	Professional	26	$6.46	$8.51	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.14 / $3.55 / $7.41	Professional	TC	$2.14	$3.55	$7.41