Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $295.12 / $549.54	Facility		$35.48	$295.12	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $9.33 / $9.33	Facility	26	$7.94	$9.33	$9.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $269.15 / $398.11 / $660.69	Facility	TC	$269.15	$398.11	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $87.10	Professional		$28.84	$37.15	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $17.78 / $33.88	Professional	26	$7.08	$17.78	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $43.65	Professional	TC	$18.20	$25.70	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $30.90 / $41.69	Facility		$9.77	$30.90	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $30.90 / $50.12	Professional		$9.12	$30.90	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $223.87	Facility		$56.23	$56.23	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.31 / $29.51 / $42.66	Facility	TC	$6.31	$29.51	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $48.98 / $169.82	Professional		$27.54	$48.98	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $12.59 / $54.95	Professional	26	$6.76	$12.59	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.02 / $128.82	Professional	TC	$20.89	$38.02	$128.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $158.49 / $346.74 / $501.19	Facility	TC	$158.49	$346.74	$501.19
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $22.39 / $22.91	Professional	26	$13.49	$22.39	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $70.79	Professional		$26.92	$38.90	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.30 / $20.89	Professional	26	$7.76	$12.30	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.30 / $48.98	Professional	TC	$18.62	$26.30	$48.98