Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $309.03 / $562.34	Facility		$36.31	$309.03	$562.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $9.12 / $13.49	Facility	26	$7.94	$9.12	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $48.98 / $331.13 / $602.56	Facility	TC	$48.98	$331.13	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $69.18	Professional		$21.38	$34.67	$69.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $25.70	Professional	26	$7.08	$10.96	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $41.69	Professional	TC	$15.14	$20.89	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $24.55 / $41.69	Facility		$10.23	$24.55	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $26.92 / $58.88	Professional		$10.96	$26.92	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $223.87	Facility		$43.65	$43.65	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $4.57 / $21.38 / $30.20	Facility	TC	$4.57	$21.38	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.02 / $131.83	Professional		$21.38	$38.02	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $12.02 / $41.69	Professional	26	$6.46	$12.02	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $26.92 / $91.20	Professional	TC	$14.79	$26.92	$91.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $363.08 / $616.60	Facility		$102.33	$363.08	$616.60
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $107.15 / $239.88 / $457.09	Facility	TC	$107.15	$239.88	$457.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $74.13	Professional		$43.65	$74.13	$74.13
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.13 / $21.88	Professional	26	$10.72	$14.13	$21.88
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $35.48 / $35.48	Professional	TC	$35.48	$35.48	$35.48
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 $20.42 / $30.90 / $54.95	Professional		$20.42	$30.90	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.00 / $18.20	Professional	26	$6.17	$10.00	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $20.89 / $38.02	Professional	TC	$13.80	$20.89	$38.02