Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,878.12 / $1,878.12 / $2,281.38	Facility		$1,878.12	$1,878.12	$2,281.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.99 / $118.99 / $118.99	Facility	26	$118.99	$118.99	$118.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.81 / $370.30 / $604.24	Professional		$346.81	$370.30	$604.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.23 / $131.59 / $268.81	Professional	26	$118.23	$131.59	$268.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.11 / $244.07 / $308.37	Professional	TC	$214.11	$244.07	$308.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.34 / $265.23 / $473.91	Facility		$149.34	$265.23	$473.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $273.02 / $455.53 / $732.53	Professional		$273.02	$455.53	$732.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.12 / $429.12 / $429.12	Facility		$429.12	$429.12	$429.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.32 / $142.32 / $142.32	Facility	26	$142.32	$142.32	$142.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.19 / $473.92 / $1,677.60	Professional		$350.19	$473.92	$1,677.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.06 / $194.84 / $581.53	Professional	26	$121.06	$194.84	$581.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.68 / $294.70 / $1,096.07	Professional	TC	$228.68	$294.70	$1,096.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,940.93 / $1,940.93 / $1,940.93	Facility		$1,940.93	$1,940.93	$1,940.93
United Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $393.63 / $596.75	Professional		$276.70	$393.63	$596.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.74 / $162.99 / $234.22	Professional	26	$103.74	$162.99	$234.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.35 / $246.21 / $400.33	Professional	TC	$172.35	$246.21	$400.33