Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.18 / $321.48 / $667.40	Facility		$78.18	$321.48	$667.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.83 / $9.72 / $14.42	Facility	26	$8.83	$9.72	$14.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $85.88 / $333.70 / $674.92	Facility	TC	$85.88	$333.70	$674.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $38.58 / $71.38	Professional		$19.07	$38.58	$71.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $19.00 / $38.79	Professional	26	$8.52	$19.00	$38.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.34 / $76.08 / $142.24	Professional	50	$53.34	$76.08	$142.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.23 / $49.90 / $97.30	Professional	TC	$22.23	$49.90	$97.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $30.11 / $46.86	Facility		$9.75	$30.11	$46.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $36.04 / $69.81	Professional		$12.72	$36.04	$69.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $39.14 / $181.60	Facility		$39.14	$39.14	$181.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $42.21 / $100.15	Professional		$25.59	$42.21	$100.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $13.15 / $42.25	Professional	26	$7.45	$13.15	$42.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $30.87 / $120.07	Professional	TC	$20.46	$30.87	$120.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.46 / $308.20 / $469.70	Facility		$112.46	$308.20	$469.70
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $101.53 / $267.12 / $388.00	Facility	TC	$101.53	$267.12	$388.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $90.75 / $92.19	Professional		$58.90	$90.75	$92.19
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $21.27 / $23.75	Professional	26	$13.91	$21.27	$23.75
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.67 / $46.67 / $46.67	Professional	TC	$46.67	$46.67	$46.67
United Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $44.95 / $70.43	Professional		$24.21	$44.95	$70.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $11.01 / $22.14	Professional	26	$7.18	$11.01	$22.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.81 / $25.57 / $47.64	Professional	TC	$15.81	$25.57	$47.64