Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $333.70 / $667.40	Facility		$57.05	$333.70	$667.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.91 / $8.71 / $13.37	Facility	26	$7.91	$8.71	$13.37
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $191.76 / $333.70 / $667.40	Facility	TC	$191.76	$333.70	$667.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $51.15 / $106.08	Professional		$17.02	$51.15	$106.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $17.02 / $35.06	Professional	26	$7.60	$17.02	$35.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.23 / $17.28 / $17.28	Professional	50	$17.23	$17.28	$17.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.51 / $16.59 / $18.04	Professional	52	$15.51	$16.59	$18.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $50.43 / $60.08	Professional	TC	$24.17	$50.43	$60.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $29.50 / $45.95	Facility		$8.74	$29.50	$45.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $36.53 / $68.39	Professional		$11.40	$36.53	$68.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $38.40 / $181.60	Facility		$38.40	$38.40	$181.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.46 / $29.46 / $29.46	Facility	TC	$29.46	$29.46	$29.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $41.90 / $99.20	Professional		$25.08	$41.90	$99.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $11.95 / $40.40	Professional	26	$6.65	$11.95	$40.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $32.39 / $121.61	Professional	TC	$20.30	$32.39	$121.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $310.58 / $448.33	Facility		$105.82	$310.58	$448.33
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $93.97 / $253.29 / $388.00	Facility	TC	$93.97	$253.29	$388.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $88.87 / $90.08	Professional		$56.19	$88.87	$90.08
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $17.66 / $21.17	Professional	26	$12.37	$17.66	$21.17
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.26 / $47.26 / $68.59	Professional	TC	$47.26	$47.26	$68.59
United Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $38.72 / $69.58	Professional		$23.60	$38.72	$69.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.08 / $10.39 / $19.82	Professional	26	$6.08	$10.39	$19.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $29.55 / $48.18	Professional	TC	$18.05	$29.55	$48.18