Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $316.23 / $660.69	Facility		$89.13	$316.23	$660.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $9.77 / $14.45	Facility	26	$7.94	$9.77	$14.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $69.18 / $371.54 / $758.58	Facility	TC	$69.18	$371.54	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $38.90 / $123.03	Professional		$9.77	$38.90	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $19.05 / $39.81	Professional	26	$7.94	$19.05	$39.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $72.44 / $194.98	Professional	50	$35.48	$72.44	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $56.23 / $89.13	Professional	TC	$25.70	$56.23	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $38.02 / $60.26	Facility		$10.96	$38.02	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $39.81 / $83.18	Professional		$11.75	$39.81	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $181.97	Facility		$63.10	$63.10	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $7.41 / $34.67 / $48.98	Facility	TC	$7.41	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $190.55	Professional		$30.20	$52.48	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.88 / $43.65	Professional	26	$7.08	$12.88	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $44.67 / $147.91	Professional	TC	$22.91	$44.67	$147.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $288.40 / $562.34	Facility		$112.20	$288.40	$562.34
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $151.36 / $281.84 / $389.05	Facility	TC	$151.36	$281.84	$389.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $107.15	Professional		$66.07	$107.15	$107.15
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.60 / $23.44	Professional	26	$14.13	$16.60	$23.44
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $54.95 / $57.54	Professional	TC	$54.95	$54.95	$57.54
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 $25.70 / $38.02 / $75.86	Professional		$25.70	$38.02	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.47 / $19.50	Professional	26	$6.61	$10.47	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $54.95	Professional	TC	$19.05	$28.18	$54.95