Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $138.04 / $275.42	Facility		$25.70	$138.04	$275.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.89 / $3.89 / $3.89	Facility	26	$3.89	$3.89	$3.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $25.70	Professional		$10.00	$12.02	$25.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $9.33 / $12.02	Professional	26	$3.02	$9.33	$12.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $7.94 / $18.62	Professional	TC	$7.08	$7.94	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $14.13 / $20.42	Facility		$5.13	$14.13	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $15.14 / $34.67	Professional		$5.01	$15.14	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.05 / $4.90 / $6.92	Facility	26	$1.05	$4.90	$6.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $21.38 / $77.62	Professional		$7.41	$21.38	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $1.95 / $6.31 / $26.30	Professional	26	$1.95	$6.31	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $15.14 / $60.26	Professional	TC	$5.50	$15.14	$60.26
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.79 / $5.62 / $8.32	Professional	26	$4.79	$5.62	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.14 / $26.92	Professional		$7.94	$15.14	$26.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.51 / $3.09 / $6.92	Professional	26	$2.51	$3.09	$6.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $12.02 / $19.95	Professional	TC	$5.37	$12.02	$19.95