Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.56 / $59.56 / $59.56	Facility		$59.56	$59.56	$59.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.87 / $17.87 / $17.87	Facility	26	$17.87	$17.87	$17.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $68.39 / $153.12	Professional		$59.56	$68.39	$153.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.90 / $17.87 / $20.44	Professional	26	$15.90	$17.87	$20.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $49.77 / $134.71	Professional	TC	$41.69	$49.77	$134.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $49.94 / $77.04	Facility		$19.19	$49.94	$77.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.12 / $64.81	Professional		$19.05	$20.12	$64.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $75.31 / $75.31	Facility		$75.31	$75.31	$75.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.65 / $20.65 / $20.65	Facility	26	$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $85.61 / $333.63	Professional		$59.88	$85.61	$333.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $22.93 / $67.95	Professional	26	$16.38	$22.93	$67.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.62 / $60.46 / $278.30	Professional	TC	$42.62	$60.46	$278.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.82 / $766.82 / $766.82	Facility		$766.82	$766.82	$766.82
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $91.80 / $177.48	Professional		$51.20	$91.80	$177.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.67 / $21.71 / $30.31	Professional	26	$14.67	$21.71	$30.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.61 / $64.89 / $149.60	Professional	TC	$35.61	$64.89	$149.60