Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $104.34 / $109.16	Facility		$11.88	$104.34	$109.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.48 / $8.22 / $8.22	Facility	26	$7.48	$8.22	$8.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $12.15 / $15.43	Professional		$10.60	$12.15	$15.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $8.83 / $16.57	Professional	26	$7.40	$8.83	$16.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.32 / $3.89 / $5.58	Professional	TC	$3.32	$3.89	$5.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $8.99 / $15.46	Facility		$3.54	$8.99	$15.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $10.41 / $24.12	Professional		$3.86	$10.41	$24.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $14.54 / $52.17	Facility		$12.68	$14.54	$52.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $15.61 / $42.24	Professional		$9.21	$15.61	$42.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.32 / $10.79 / $28.40	Professional	26	$6.32	$10.79	$28.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $4.51 / $13.84	Professional	TC	$2.88	$4.51	$13.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $76.06 / $83.52	Facility		$76.06	$76.06	$83.52
United Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $68.68 / $68.68	Facility		$68.68	$68.68	$68.68
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.52 / $24.54	Professional		$8.51	$11.52	$24.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $8.60 / $16.50	Professional	26	$6.48	$8.60	$16.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.15 / $3.41 / $6.75	Professional	TC	$2.15	$3.41	$6.75