Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.56 / $314.89 / $667.40	Facility		$123.56	$314.89	$667.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.21 / $9.02 / $13.37	Facility	26	$8.21	$9.02	$13.37
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $196.46 / $348.74 / $723.80	Facility	TC	$196.46	$348.74	$723.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $35.84 / $78.37	Professional		$17.23	$35.84	$78.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $17.73 / $35.94	Professional	26	$7.78	$17.73	$35.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.09 / $36.09 / $36.09	Professional	50	$36.09	$36.09	$36.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.51 / $54.61 / $57.79	Professional	TC	$24.51	$54.61	$57.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $32.29 / $50.36	Facility		$9.06	$32.29	$50.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $40.74 / $74.88	Professional		$11.82	$40.74	$74.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $41.75 / $181.60	Facility		$41.75	$41.75	$181.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.44	Facility	TC	$32.44	$32.44	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $45.21 / $174.63	Professional		$28.73	$45.21	$174.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.91 / $12.19 / $40.40	Professional	26	$6.91	$12.19	$40.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.75 / $35.69 / $135.63	Professional	TC	$20.75	$35.69	$135.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $316.20 / $448.33	Facility		$108.38	$316.20	$448.33
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $95.12 / $254.46 / $396.47	Facility	TC	$95.12	$254.46	$396.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $96.80 / $99.10	Professional		$59.75	$96.80	$99.10
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.74 / $18.77 / $25.66	Professional	26	$12.74	$18.77	$25.66
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.04 / $52.04 / $97.43	Professional	TC	$52.04	$52.04	$97.43
United Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $41.30 / $73.95	Professional		$24.96	$41.30	$73.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $11.07 / $20.56	Professional	26	$6.61	$11.07	$20.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $27.76 / $53.39	Professional	TC	$17.91	$27.76	$53.39