Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $83.70 / $127.80	Facility		$48.60	$83.70	$127.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.81 / $10.81 / $10.81	Facility	26	$10.81	$10.81	$10.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $6.18 / $33.29 / $190.12	Facility	TC	$6.18	$33.29	$190.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $17.61 / $19.07	Professional		$16.01	$17.61	$19.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $25.34 / $50.67	Professional	26	$11.07	$25.34	$50.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.18 / $8.00 / $11.67	Professional	TC	$6.18	$8.00	$11.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $13.51 / $24.81	Facility		$7.83	$13.51	$24.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $18.45 / $42.62	Professional		$10.68	$18.45	$42.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $34.44 / $34.44	Facility		$34.44	$34.44	$34.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.16 / $21.16 / $21.16	Facility	26	$21.16	$21.16	$21.16
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $13.30 / $13.30 / $13.30	Facility	TC	$13.30	$13.30	$13.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $10.03 / $32.92	Professional		$8.99	$10.03	$32.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.31 / $6.49 / $20.82	Professional	26	$5.31	$6.49	$20.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.25 / $4.04 / $12.09	Professional	TC	$3.25	$4.04	$12.09
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $15.11 / $22.45	Professional	26	$13.91	$15.11	$22.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $15.26 / $29.41	Professional		$11.21	$15.26	$29.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.88 / $12.51 / $22.75	Professional	26	$6.88	$12.51	$22.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.40 / $5.12 / $11.39	Professional	TC	$3.40	$5.12	$11.39