Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.35 / $318.66 / $513.24	Facility		$59.35	$318.66	$513.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.55 / $8.55 / $9.40	Facility	26	$8.55	$8.55	$9.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $87.42 / $353.44 / $684.32	Facility	TC	$87.42	$353.44	$684.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $31.37 / $70.37	Professional		$17.96	$31.37	$70.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $18.47 / $37.29	Professional	26	$8.43	$18.47	$37.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.53 / $26.66 / $52.47	Professional	TC	$22.53	$26.66	$52.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $30.94 / $48.20	Facility		$9.44	$30.94	$48.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $37.93 / $71.73	Professional		$12.32	$37.93	$71.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $39.89 / $181.60	Facility		$39.89	$39.89	$181.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	TC	$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $47.26 / $166.82	Professional		$28.44	$47.26	$166.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $12.94 / $40.54	Professional	26	$7.19	$12.94	$40.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $34.11 / $126.28	Professional	TC	$21.24	$34.11	$126.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.80 / $246.03 / $349.35	Facility		$113.80	$246.03	$349.35
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $164.74 / $260.95 / $345.95	Facility	TC	$164.74	$260.95	$345.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $93.09 / $93.09	Professional		$93.09	$93.09	$93.09
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $14.81 / $22.67	Professional	26	$13.40	$14.81	$22.67
United Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $39.61 / $73.34	Professional		$24.89	$39.61	$73.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.78 / $12.26 / $24.63	Professional	26	$6.78	$12.26	$24.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $25.63 / $51.66	Professional	TC	$16.82	$25.63	$51.66