Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.35 / $309.70 / $434.28	Facility		$50.35	$309.70	$434.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.33 / $22.56 / $22.56	Facility	26	$8.33	$22.56	$22.56
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $198.34 / $314.89 / $592.73	Facility	TC	$198.34	$314.89	$592.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $28.29 / $58.12	Professional		$16.38	$28.29	$58.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $13.14 / $16.80	Professional	26	$7.03	$13.14	$16.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.73 / $31.08 / $43.70	Professional	TC	$18.73	$31.08	$43.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $25.56 / $39.71	Facility		$8.36	$25.56	$39.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $30.44 / $59.27	Professional		$10.92	$30.44	$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 $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.24 / $24.24 / $24.24	Facility	TC	$24.24	$24.24	$24.24
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 $6.36 / $11.28 / $38.57	Professional	26	$6.36	$11.28	$38.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $27.41 / $101.36	Professional	TC	$17.05	$27.41	$101.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.74 / $255.60 / $362.64	Facility		$101.74	$255.60	$362.64
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $133.13 / $231.87 / $368.00	Facility	TC	$133.13	$231.87	$368.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $76.05 / $77.86	Professional		$45.87	$76.05	$77.86
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $13.10 / $20.12	Professional	26	$11.72	$13.10	$20.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $39.72 / $87.90	Professional		$23.49	$39.72	$87.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $9.73 / $19.72	Professional	26	$5.82	$9.73	$19.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.20 / $22.17 / $41.76	Professional	TC	$15.20	$22.17	$41.76