Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $281.06 / $701.41	Facility		$37.70	$281.06	$701.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.55 / $8.55 / $10.67	Facility	26	$8.55	$8.55	$10.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $155.10 / $248.16 / $595.96	Facility	TC	$155.10	$248.16	$595.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $24.91 / $53.57	Professional		$19.14	$24.91	$53.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $17.72 / $22.74	Professional	26	$8.08	$17.72	$22.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.66 / $16.45 / $33.18	Professional	TC	$10.66	$16.45	$33.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $21.40 / $35.15	Facility		$9.44	$21.40	$35.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $25.30 / $53.00	Professional		$12.32	$25.30	$53.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $29.01 / $181.60	Facility		$29.01	$29.01	$181.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.39 / $19.39 / $19.39	Facility	TC	$19.39	$19.39	$19.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $32.00 / $121.61	Professional		$20.57	$32.00	$121.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $12.48 / $40.54	Professional	26	$6.93	$12.48	$40.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.72 / $20.35 / $81.06	Professional	TC	$11.72	$20.35	$81.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.46 / $360.25 / $482.10	Facility		$89.46	$360.25	$482.10
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $90.24 / $197.11 / $371.93	Facility	TC	$90.24	$197.11	$371.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.13 / $67.84	Professional		$6.13	$6.13	$67.84
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $21.61 / $22.61	Professional	26	$13.03	$21.61	$22.61
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.11 / $31.11 / $31.11	Professional	TC	$31.11	$31.11	$31.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $30.37 / $86.60	Professional		$17.52	$30.37	$86.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.49 / $10.92 / $21.41	Professional	26	$6.49	$10.92	$21.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $16.11 / $24.99	Professional	TC	$9.18	$16.11	$24.99