Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.18 / $214.20 / $469.96	Facility		$57.18	$214.20	$469.96
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 $23.36 / $26.62 / $29.46	Professional		$23.36	$26.62	$29.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $14.45 / $29.08	Professional	26	$6.17	$14.45	$29.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $23.29 / $75.66	Professional	TC	$17.87	$23.29	$75.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $26.95 / $38.84	Facility		$6.94	$26.95	$38.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $33.69 / $66.70	Professional		$9.47	$33.69	$66.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $74.45 / $74.45	Facility		$74.45	$74.45	$74.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.31 / $9.31 / $9.31	Facility	26	$9.31	$9.31	$9.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $22.19 / $60.69	Professional		$14.38	$22.19	$60.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.03 / $3.86 / $11.87	Professional	26	$3.03	$3.86	$11.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.23 / $19.16 / $50.21	Professional	TC	$11.23	$19.16	$50.21
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $8.64 / $12.69	Professional	26	$8.01	$8.64	$12.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $34.54 / $56.96	Professional		$16.72	$34.54	$56.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.85 / $7.00 / $12.78	Professional	26	$3.85	$7.00	$12.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.52 / $27.99 / $63.53	Professional	TC	$12.52	$27.99	$63.53