Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $505.72 / $604.41	Facility		$51.35	$505.72	$604.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.51 / $10.47 / $17.18	Facility	26	$9.51	$10.47	$17.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $220.90 / $333.70 / $604.41	Facility	TC	$220.90	$333.70	$604.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $31.73 / $37.56	Professional		$29.71	$31.73	$37.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $14.91 / $21.00	Professional	26	$8.69	$14.91	$21.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $23.80 / $45.39	Professional	TC	$20.19	$23.80	$45.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $28.80 / $44.63	Facility		$10.50	$28.80	$44.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $32.79 / $66.77	Professional		$13.70	$32.79	$66.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $223.40	Facility		$36.90	$36.90	$223.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $26.10	Facility	TC	$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $43.20 / $95.41	Professional		$26.25	$43.20	$95.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $15.50 / $51.42	Professional	26	$8.02	$15.50	$51.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $32.36 / $109.12	Professional	TC	$18.36	$32.36	$109.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.25 / $381.88 / $556.00	Facility		$124.25	$381.88	$556.00
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $167.53 / $275.73 / $499.88	Facility	TC	$167.53	$275.73	$499.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $51.02 / $54.69	Professional		$51.02	$51.02	$54.69
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.77 / $16.52 / $25.66	Professional	26	$14.77	$16.52	$25.66
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.49 / $36.49 / $41.88	Professional	TC	$36.49	$36.49	$41.88
United Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $43.12 / $70.48	Professional		$25.96	$43.12	$70.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $13.18 / $23.83	Professional	26	$7.44	$13.18	$23.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $28.51 / $47.42	Professional	TC	$16.82	$28.51	$47.42