Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $85.11 / $128.82	Facility		$48.98	$85.11	$128.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $10.72 / $10.72	Facility	26	$10.72	$10.72	$10.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $6.17 / $33.11 / $309.03	Facility	TC	$6.17	$33.11	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $31.62	Professional		$12.02	$15.85	$31.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $25.70 / $61.66	Professional	26	$10.96	$25.70	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $6.03 / $12.88	Professional	TC	$5.01	$6.03	$12.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $15.14 / $25.70	Facility		$8.91	$15.14	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $18.62 / $43.65	Professional		$8.51	$18.62	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $14.79 / $21.38	Facility	26	$3.16	$14.79	$21.38
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $2.00 / $9.33 / $13.18	Facility	TC	$2.00	$9.33	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $25.70 / $95.50	Professional		$9.33	$25.70	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $17.38 / $60.26	Professional	26	$5.37	$17.38	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $10.00 / $38.90	Professional	TC	$3.72	$10.00	$38.90
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $15.49 / $22.39	Professional	26	$13.80	$15.49	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $28.84	Professional		$11.22	$14.13	$28.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.71 / $18.62	Professional	26	$6.92	$8.71	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $5.13 / $10.00	Professional	TC	$3.55	$5.13	$10.00