Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $523.25 / $604.41	Facility		$67.34	$523.25	$604.41
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 Facility Modifier TC Low / Median / High Price $86.55 / $332.37 / $401.38	Facility	TC	$86.55	$332.37	$401.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $39.14 / $78.12	Professional		$35.63	$39.14	$78.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $22.00 / $23.23	Professional	26	$10.02	$22.00	$23.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $42.70 / $59.09	Professional	TC	$25.14	$42.70	$59.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $34.47 / $53.67	Facility		$11.57	$34.47	$53.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $40.74 / $79.92	Professional		$15.09	$40.74	$79.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $44.36 / $181.60	Facility		$44.36	$44.36	$181.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.44	Facility	TC	$32.44	$32.44	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $48.58 / $114.37	Professional		$30.14	$48.58	$114.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $15.59 / $51.42	Professional	26	$8.85	$15.59	$51.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.82 / $34.17 / $135.63	Professional	TC	$22.82	$34.17	$135.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.49 / $305.62 / $469.70	Facility		$119.49	$305.62	$469.70
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $166.72 / $283.60 / $413.90	Facility	TC	$166.72	$283.60	$413.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $102.84 / $105.28	Professional		$62.02	$102.84	$105.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $22.79 / $28.14	Professional	26	$16.68	$22.79	$28.14
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.34 / $45.34 / $52.04	Professional	TC	$45.34	$45.34	$52.04
United Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $46.34 / $86.95	Professional		$29.88	$46.34	$86.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $12.63 / $26.25	Professional	26	$8.53	$12.63	$26.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $26.53 / $54.85	Professional	TC	$18.29	$26.53	$54.85