Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.20 / $412.20 / $704.79	Facility		$61.20	$412.20	$704.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.92 / $245.70 / $245.70	Facility	26	$9.92	$245.70	$245.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $65.70 / $155.69 / $480.60	Facility	TC	$65.70	$155.69	$480.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $38.54 / $49.24	Professional		$30.78	$38.54	$49.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $24.13 / $70.27	Professional	26	$10.15	$24.13	$70.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.77 / $28.39 / $94.81	Professional	TC	$21.77	$28.39	$94.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $31.97 / $49.92	Facility		$11.37	$31.97	$49.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $42.01 / $85.74	Professional		$15.51	$42.01	$85.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.66 / $94.66 / $94.66	Facility		$94.66	$94.66	$94.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.96 / $16.96 / $16.96	Facility	26	$16.96	$16.96	$16.96
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $77.70 / $77.70 / $77.70	Facility	TC	$77.70	$77.70	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $29.89 / $77.83	Professional		$18.48	$29.89	$77.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $5.88 / $18.66	Professional	26	$4.90	$5.88	$18.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.32 / $22.76 / $61.86	Professional	TC	$13.32	$22.76	$61.86
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $13.93 / $20.92	Professional	26	$12.62	$13.93	$20.92
United Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $43.39 / $75.20	Professional		$20.51	$43.39	$75.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $11.48 / $19.69	Professional	26	$6.31	$11.48	$19.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.20 / $35.38 / $58.14	Professional	TC	$14.20	$35.38	$58.14