Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $293.27 / $364.72	Facility		$52.75	$293.27	$364.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $8.33 / $13.37	Facility	26	$7.58	$8.33	$13.37
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $225.60 / $313.02 / $389.16	Facility	TC	$225.60	$313.02	$389.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $29.30 / $57.32	Professional		$16.36	$29.30	$57.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $16.00 / $32.76	Professional	26	$7.27	$16.00	$32.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.51 / $24.03 / $47.32	Professional	TC	$20.51	$24.03	$47.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $27.79 / $43.25	Facility		$8.36	$27.79	$43.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $34.19 / $64.44	Professional		$10.92	$34.19	$64.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $181.60	Facility		$35.79	$35.79	$181.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.22 / $27.22 / $27.22	Facility	TC	$27.22	$27.22	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $41.68 / $149.66	Professional		$25.51	$41.68	$149.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $12.19 / $40.40	Professional	26	$6.36	$12.19	$40.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $30.88 / $113.80	Professional	TC	$19.14	$30.88	$113.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.30 / $262.02 / $405.00	Facility		$111.30	$262.02	$405.00
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $92.66 / $226.68 / $413.90	Facility	TC	$92.66	$226.68	$413.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $82.97 / $84.94	Professional		$52.21	$82.97	$84.94
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $13.07 / $20.23	Professional	26	$10.97	$13.07	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $36.38 / $66.55	Professional		$22.23	$36.38	$66.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $10.56 / $19.72	Professional	26	$6.60	$10.56	$19.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $24.32 / $46.78	Professional	TC	$17.03	$24.32	$46.78