Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $323.59 / $660.69	Facility		$58.88	$323.59	$660.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $8.32 / $13.49	Facility	26	$7.08	$8.32	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $134.90 / $331.13 / $676.08	Facility	TC	$134.90	$331.13	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $30.20 / $81.28	Professional		$13.18	$30.20	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $15.85 / $34.67	Professional	26	$6.76	$15.85	$34.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $61.66 / $162.18	Professional	50	$33.11	$61.66	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $32.36 / $53.70	Professional	TC	$19.05	$32.36	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $29.51 / $46.77	Facility		$9.33	$29.51	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $30.20 / $66.07	Professional		$10.00	$30.20	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $181.97	Facility		$48.98	$48.98	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.59	Facility	26	$1.86	$8.71	$12.59
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	TC	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $147.91	Professional		$23.44	$41.69	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.96 / $41.69	Professional	26	$6.03	$10.96	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.11 / $112.20	Professional	TC	$18.20	$33.11	$112.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $338.84 / $478.63	Facility		$107.15	$338.84	$478.63
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $134.90 / $239.88 / $398.11	Facility	TC	$134.90	$239.88	$398.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $83.18	Professional		$51.29	$53.70	$83.18
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $13.18 / $20.42	Professional	26	$12.02	$13.18	$20.42
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 $21.38 / $31.62 / $58.88	Professional		$21.38	$31.62	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.33 / $16.60	Professional	26	$6.03	$9.33	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.91 / $40.74	Professional	TC	$15.14	$22.91	$40.74