Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $323.59 / $467.74	Facility		$57.54	$323.59	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $6.03 / $6.03	Facility	26	$6.03	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $51.29	Professional		$20.89	$23.99	$51.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $16.98 / $34.67	Professional	26	$6.03	$16.98	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.05 / $40.74	Professional	TC	$15.85	$19.05	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $29.51 / $40.74	Facility		$7.76	$29.51	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $29.51 / $69.18	Professional		$7.59	$29.51	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.62 / $7.59 / $10.72	Facility	26	$1.62	$7.59	$10.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $44.67 / $158.49	Professional		$14.79	$44.67	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $10.47 / $57.54	Professional	26	$3.02	$10.47	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $33.11 / $134.90	Professional	TC	$11.75	$33.11	$134.90
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.91 / $12.59	Professional	26	$7.94	$8.91	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $57.54	Professional		$15.49	$33.11	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $5.01 / $10.72	Professional	26	$3.89	$5.01	$10.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $28.18 / $45.71	Professional	TC	$11.48	$28.18	$45.71