Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.92 / $412.66 / $472.27	Facility		$204.92	$412.66	$472.27
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.51 / $35.51 / $55.44	Facility	26	$35.51	$35.51	$55.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $70.88 / $233.32	Professional		$55.41	$70.88	$233.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.69 / $38.82 / $82.17	Professional	26	$19.69	$38.82	$82.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.20 / $32.04 / $148.65	Professional	TC	$23.20	$32.04	$148.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $41.58 / $78.23	Facility		$25.62	$41.58	$78.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $56.80 / $134.36	Professional		$27.95	$56.80	$134.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Facility		$71.95	$71.95	$71.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.98 / $41.98 / $41.98	Facility	26	$41.98	$41.98	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $96.13 / $709.29	Professional		$58.55	$96.13	$709.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $57.31 / $289.37	Professional	26	$33.00	$57.31	$289.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.68 / $38.82 / $419.92	Professional	TC	$25.68	$38.82	$419.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.72 / $346.72 / $428.15	Facility		$346.72	$346.72	$428.15
United Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $225.75 / $470.74	Professional		$51.62	$225.75	$470.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.22 / $87.53 / $139.22	Professional	26	$31.22	$87.53	$139.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $137.34 / $228.90	Professional	TC	$20.39	$137.34	$228.90