Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $416.87 / $467.74	Facility		$204.17	$416.87	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $251.19	Professional		$54.95	$77.62	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $41.69 / $91.20	Professional	26	$19.50	$41.69	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $32.36 / $162.18	Professional	TC	$25.12	$32.36	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $44.67 / $81.28	Facility		$26.30	$44.67	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.54 / $138.04	Professional		$25.12	$57.54	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $104.71	Facility		$34.67	$104.71	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $63.10	Facility	26	$9.33	$43.65	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $407.38 / $1,122.02	Professional		$63.10	$407.38	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $138.04 / $489.78	Professional	26	$37.15	$138.04	$489.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $229.09 / $446.68	Professional	TC	$25.70	$229.09	$446.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $426.58	Facility		$363.08	$363.08	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $457.09	Facility		$363.08	$363.08	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $204.17 / $346.74	Professional		$51.29	$204.17	$346.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $79.43 / $131.83	Professional	26	$30.90	$79.43	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $125.89 / $218.78	Professional	TC	$21.38	$125.89	$218.78