Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $316.23 / $660.69	Facility		$57.54	$316.23	$660.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $14.45	Facility	26	$8.91	$8.91	$14.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $48.98 / $331.13 / $660.69	Facility	TC	$48.98	$331.13	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $37.15 / $75.86	Professional		$9.12	$37.15	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $18.62 / $39.81	Professional	26	$7.94	$18.62	$39.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $85.11 / $218.78	Professional	50	$34.67	$85.11	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $48.98 / $87.10	Professional	TC	$20.89	$48.98	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $30.90 / $51.29	Facility		$10.96	$30.90	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $33.11 / $72.44	Professional		$11.75	$33.11	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $181.97	Facility		$53.70	$53.70	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.03 / $28.18 / $39.81	Facility	TC	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $162.18	Professional		$25.70	$44.67	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.88 / $43.65	Professional	26	$7.08	$12.88	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $35.48 / $120.23	Professional	TC	$19.50	$35.48	$120.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $309.03 / $467.74	Facility		$114.82	$309.03	$467.74
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $97.72 / $269.15 / $380.19	Facility	TC	$97.72	$269.15	$380.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $93.33	Professional		$56.23	$91.20	$93.33
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $19.05 / $23.99	Professional	26	$14.13	$19.05	$23.99
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $45.71 / $46.77	Professional	TC	$43.65	$45.71	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $63.10	Professional		$23.44	$35.48	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.47 / $19.50	Professional	26	$6.61	$10.47	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $24.55 / $45.71	Professional	TC	$16.98	$24.55	$45.71