Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.39 / $552.72 / $552.72	Facility		$260.39	$552.72	$552.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.55 / $9.40 / $9.40	Facility	26	$8.55	$9.40	$9.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $268.83 / $606.29 / $667.40	Facility	TC	$268.83	$606.29	$667.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.21 / $72.05	Professional		$32.22	$37.21	$72.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $13.32 / $18.98	Professional	26	$7.79	$13.32	$18.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $26.99 / $29.25	Professional	TC	$22.87	$26.99	$29.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $31.22 / $48.63	Facility		$9.44	$31.22	$48.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $38.40 / $72.39	Professional		$12.32	$38.40	$72.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $223.40	Facility		$40.26	$40.26	$223.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.58 / $30.58 / $30.58	Facility	TC	$30.58	$30.58	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $49.43 / $168.36	Professional		$28.70	$49.43	$168.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $17.10 / $53.26	Professional	26	$7.19	$17.10	$53.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.51 / $34.52 / $127.83	Professional	TC	$21.51	$34.52	$127.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.25 / $360.25 / $516.66	Facility		$360.25	$360.25	$516.66
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $267.12 / $335.00 / $499.88	Facility	TC	$267.12	$335.00	$499.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $22.47 / $23.00	Professional	26	$13.24	$22.47	$23.00
United Facility/Professional Facility Modifier Low / Median / High Price $298.14 / $298.14 / $298.14	Facility		$298.14	$298.14	$298.14
United Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $43.20 / $75.53	Professional		$28.72	$43.20	$75.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.77 / $13.14 / $24.63	Professional	26	$7.77	$13.14	$24.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $27.33 / $51.94	Professional	TC	$18.41	$27.33	$51.94