Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $297.04 / $364.72	Facility		$60.00	$297.04	$364.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.49 / $11.53 / $17.18	Facility	26	$10.49	$11.53	$17.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $33.29 / $43.62	Professional		$22.00	$33.29	$43.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $10.97 / $22.75	Professional	26	$9.59	$10.97	$22.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $24.65 / $48.73	Professional	TC	$19.76	$24.65	$48.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $31.96 / $49.62	Facility		$11.57	$31.96	$49.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $36.53 / $74.11	Professional		$15.09	$36.53	$74.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $181.60	Facility		$41.01	$41.01	$181.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $47.94 / $171.50	Professional		$29.31	$47.94	$171.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $15.50 / $51.42	Professional	26	$8.58	$15.50	$51.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.72 / $32.85 / $121.61	Professional	TC	$20.72	$32.85	$121.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.35 / $343.93 / $448.33	Facility		$129.35	$343.93	$448.33
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.30 / $18.12 / $28.14	Professional	26	$16.30	$18.12	$28.14
United Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $44.92 / $78.16	Professional		$25.57	$44.92	$78.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $13.74 / $85.70	Professional	26	$7.31	$13.74	$85.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $25.34 / $49.19	Professional	TC	$17.96	$25.34	$49.19