Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.92 / $766.10 / $873.26	Facility		$204.92	$766.10	$873.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.74 / $37.74 / $37.74	Facility	26	$37.74	$37.74	$37.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $179.88 / $392.01	Professional		$152.68	$179.88	$392.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.26 / $43.81 / $83.84	Professional	26	$37.26	$43.81	$83.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $135.68 / $180.17	Professional	TC	$98.17	$135.68	$180.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $135.44 / $215.24	Facility		$41.83	$135.44	$215.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $236.76 / $332.69	Professional		$73.44	$236.76	$332.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.39 / $211.39 / $211.39	Facility		$211.39	$211.39	$211.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.04 / $45.04 / $45.04	Facility	26	$45.04	$45.04	$45.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $230.57 / $1,435.92	Professional		$162.41	$230.57	$1,435.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $61.60 / $501.29	Professional	26	$38.11	$61.60	$501.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.96 / $159.35 / $594.02	Professional	TC	$123.96	$159.35	$594.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.95 / $489.95 / $796.84	Facility		$489.95	$489.95	$796.84
United Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $229.59 / $413.12	Professional		$118.27	$229.59	$413.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $57.59 / $128.33	Professional	26	$32.90	$57.59	$128.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.37 / $169.97 / $288.85	Professional	TC	$85.37	$169.97	$288.85