Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $156.60 / $663.64	Facility		$46.30	$156.60	$663.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.87 / $8.65 / $8.65	Facility	26	$7.87	$8.65	$8.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.29 / $84.79 / $663.64	Facility	TC	$20.29	$84.79	$663.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $26.32 / $57.90	Professional		$17.01	$26.32	$57.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $15.56 / $17.55	Professional	26	$7.17	$15.56	$17.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.92 / $117.92 / $117.92	Professional	50	$117.92	$117.92	$117.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.45 / $22.81 / $43.65	Professional	TC	$18.45	$22.81	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $25.56 / $39.71	Facility		$8.69	$25.56	$39.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $29.98 / $59.27	Professional		$11.34	$29.98	$59.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $32.79 / $181.60	Facility		$32.79	$32.79	$181.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.86 / $23.86 / $23.86	Facility	TC	$23.86	$23.86	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $38.33 / $137.18	Professional		$23.41	$38.33	$137.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.62 / $11.34 / $37.40	Professional	26	$6.62	$11.34	$37.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.79 / $27.90 / $99.77	Professional	TC	$16.79	$27.90	$99.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.74 / $212.98 / $374.00	Facility		$101.74	$212.98	$374.00
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $131.82 / $268.02 / $327.43	Facility	TC	$131.82	$268.02	$327.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $45.87 / $45.87	Professional		$45.87	$45.87	$45.87
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $20.74 / $24.44	Professional	26	$12.51	$20.74	$24.44
United Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $32.74 / $62.38	Professional		$21.66	$32.74	$62.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.05 / $9.68 / $19.80	Professional	26	$6.05	$9.68	$19.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.71 / $24.09 / $41.03	Professional	TC	$15.71	$24.09	$41.03