Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $306.44 / $389.16	Facility		$85.88	$306.44	$389.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $7.58 / $12.32	Facility	26	$7.58	$7.58	$12.32
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $89.69 / $314.89 / $497.84	Facility	TC	$89.69	$314.89	$497.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $28.94 / $63.82	Professional		$16.38	$28.94	$63.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $14.56 / $32.76	Professional	26	$7.22	$14.56	$32.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.47 / $15.79 / $16.97	Professional	52	$14.47	$15.79	$16.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $24.36 / $47.96	Professional	TC	$21.00	$24.36	$47.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $27.79 / $43.25	Facility		$8.36	$27.79	$43.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $34.19 / $64.44	Professional		$10.92	$34.19	$64.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $36.15 / $181.60	Facility		$36.15	$36.15	$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 $27.59 / $27.59 / $27.59	Facility	TC	$27.59	$27.59	$27.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $39.79 / $149.66	Professional		$25.77	$39.79	$149.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $11.28 / $38.57	Professional	26	$6.36	$11.28	$38.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $30.76 / $113.80	Professional	TC	$18.48	$30.76	$113.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.45 / $316.18 / $360.25	Facility		$104.45	$316.18	$360.25
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $82.99 / $267.12 / $357.00	Facility	TC	$82.99	$267.12	$357.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $50.56 / $50.56	Professional		$50.56	$50.56	$50.56
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.99 / $19.88 / $20.35	Professional	26	$11.99	$19.88	$20.35
United Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $35.84 / $62.54	Professional		$19.79	$35.84	$62.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $10.14 / $19.72	Professional	26	$5.82	$10.14	$19.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.34 / $23.64 / $41.77	Professional	TC	$14.34	$23.64	$41.77