Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $314.89 / $619.40	Facility		$60.40	$314.89	$619.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.87 / $8.65 / $12.79	Facility	26	$7.87	$8.65	$12.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $178.60 / $306.44 / $665.52	Facility	TC	$178.60	$306.44	$665.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $30.39 / $60.46	Professional		$17.01	$30.39	$60.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $16.91 / $34.88	Professional	26	$7.66	$16.91	$34.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.20 / $16.45 / $17.86	Professional	52	$15.20	$16.45	$17.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.52 / $25.68 / $53.19	Professional	TC	$22.52	$25.68	$53.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $29.18 / $45.45	Facility		$8.69	$29.18	$45.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $36.04 / $67.65	Professional		$11.34	$36.04	$67.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $181.60	Facility		$38.02	$38.02	$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 $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $40.93 / $98.25	Professional		$25.83	$40.93	$98.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.62 / $11.72 / $40.40	Professional	26	$6.62	$11.72	$40.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $32.43 / $120.07	Professional	TC	$18.85	$32.43	$120.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.41 / $345.16 / $414.19	Facility		$97.41	$345.16	$414.19
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $160.11 / $268.02 / $396.47	Facility	TC	$160.11	$268.02	$396.47
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.22 / $20.51 / $21.17	Professional	26	$12.22	$20.51	$21.17
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $32.01 / $65.73	Professional		$22.85	$32.01	$65.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $10.39 / $19.72	Professional	26	$6.34	$10.39	$19.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $25.79 / $44.16	Professional	TC	$16.51	$25.79	$44.16