Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $295.12 / $616.60	Facility		$53.70	$295.12	$616.60
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 $199.53 / $331.13 / $660.69	Facility	TC	$199.53	$331.13	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $31.62 / $75.86	Professional		$13.80	$31.62	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.98 / $36.31	Professional	26	$7.08	$16.98	$36.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $151.36 / $371.54	Professional	50	$42.66	$151.36	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $38.02 / $61.66	Professional	TC	$19.95	$38.02	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $29.51 / $47.86	Facility		$10.23	$29.51	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $30.90 / $67.61	Professional		$10.96	$30.90	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $181.97	Facility		$51.29	$51.29	$181.97
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 $5.62 / $26.30 / $38.02	Facility	TC	$5.62	$26.30	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $43.65 / $151.36	Professional		$24.55	$43.65	$151.36
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 $18.62 / $33.88 / $114.82	Professional	TC	$18.62	$33.88	$114.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $316.23 / $478.63	Facility		$114.82	$316.23	$478.63
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $100.00 / $269.15 / $389.05	Facility	TC	$100.00	$269.15	$389.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $85.11 / $87.10	Professional		$29.51	$85.11	$87.10
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.79 / $21.88	Professional	26	$12.88	$14.79	$21.88
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 $23.99 / $34.67 / $63.10	Professional		$23.99	$34.67	$63.10
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 $17.38 / $23.99 / $44.67	Professional	TC	$17.38	$23.99	$44.67