Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.92 / $331.82 / $663.64	Facility		$204.92	$331.82	$663.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $8.33 / $13.37	Facility	26	$7.58	$8.33	$13.37
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $217.14 / $329.87 / $667.40	Facility	TC	$217.14	$329.87	$667.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $30.49 / $63.70	Professional		$16.29	$30.49	$63.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $16.29 / $32.97	Professional	26	$6.89	$16.29	$32.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $32.76 / $32.76 / $56.70	Professional	50	$32.76	$32.76	$56.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $35.90 / $53.21	Professional	TC	$19.94	$35.90	$53.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $27.51 / $42.80	Facility		$8.36	$27.51	$42.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $33.72 / $63.78	Professional		$10.92	$33.72	$63.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $181.60	Facility		$35.40	$35.40	$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 $26.85 / $26.85 / $26.85	Facility	TC	$26.85	$26.85	$26.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $41.26 / $148.12	Professional		$25.25	$41.26	$148.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $11.95 / $40.40	Professional	26	$6.36	$11.95	$40.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.88 / $30.34 / $112.26	Professional	TC	$18.88	$30.34	$112.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.20 / $349.35 / $481.73	Facility		$122.20	$349.35	$481.73
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $93.95 / $241.96 / $410.25	Facility	TC	$93.95	$241.96	$410.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $54.12 / $84.05	Professional		$52.10	$54.12	$84.05
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $13.10 / $23.98	Professional	26	$11.72	$13.10	$23.98
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.01 / $63.50	Professional		$21.88	$34.01	$63.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $10.56 / $18.98	Professional	26	$6.60	$10.56	$18.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $22.72 / $40.97	Professional	TC	$15.28	$22.72	$40.97