Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $165.96 / $524.81	Facility		$32.36	$165.96	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.47 / $17.38	Facility	26	$8.91	$10.47	$17.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $47.86 / $331.13 / $588.84	Facility	TC	$47.86	$331.13	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $109.65	Professional		$26.30	$37.15	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $15.85 / $28.84	Professional	26	$7.94	$15.85	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $47.86	Professional	TC	$18.20	$25.12	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $48.98	Facility		$11.75	$28.84	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $31.62 / $69.18	Professional		$12.59	$31.62	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $223.87	Facility		$51.29	$51.29	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.34 / $10.96 / $15.85	Facility	26	$2.34	$10.96	$15.85
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.37 / $25.12 / $36.31	Facility	TC	$5.37	$25.12	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $158.49	Professional		$25.70	$44.67	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $14.13 / $53.70	Professional	26	$7.59	$14.13	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $32.36 / $109.65	Professional	TC	$17.78	$32.36	$109.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $275.42 / $691.83	Facility		$125.89	$275.42	$691.83
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $165.96 / $316.23 / $512.86	Facility	TC	$165.96	$316.23	$512.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $56.23	Professional		$52.48	$52.48	$56.23
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $25.12 / $25.70	Professional	26	$14.79	$25.12	$25.70
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $41.69	Professional	TC	$36.31	$36.31	$41.69
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 $25.70 / $35.48 / $64.57	Professional		$25.70	$35.48	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.75 / $20.89	Professional	26	$7.59	$11.75	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $43.65	Professional	TC	$16.98	$25.70	$43.65