Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $309.03 / $524.81	Facility		$50.12	$309.03	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $12.30 / $22.39	Facility	26	$7.59	$12.30	$22.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $41.69 / $309.03 / $630.96	Facility	TC	$41.69	$309.03	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $27.54 / $66.07	Professional		$9.33	$27.54	$66.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.49 / $33.88	Professional	26	$7.08	$15.49	$33.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $52.48 / $190.55	Professional	50	$33.11	$52.48	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.12 / $43.65	Professional	TC	$16.98	$25.12	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $26.30 / $43.65	Facility		$9.33	$26.30	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $28.18 / $61.66	Professional		$10.00	$28.18	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $181.97	Facility		$45.71	$45.71	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.59	Facility	26	$1.86	$8.71	$12.59
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.01 / $23.44 / $33.88	Facility	TC	$5.01	$23.44	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $138.04	Professional		$22.39	$38.02	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.96 / $39.81	Professional	26	$6.03	$10.96	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $30.20 / $102.33	Professional	TC	$16.22	$30.20	$102.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $234.42 / $363.08	Facility		$102.33	$234.42	$363.08
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $93.33 / $218.78 / $416.87	Facility	TC	$93.33	$218.78	$416.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $77.62	Professional		$45.71	$50.12	$77.62
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $13.18 / $20.42	Professional	26	$11.75	$13.18	$20.42
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 $20.42 / $30.90 / $54.95	Professional		$20.42	$30.90	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.12 / $16.98	Professional	26	$5.62	$9.12	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $38.90	Professional	TC	$15.14	$20.89	$38.90