Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $316.23 / $630.96	Facility		$56.23	$316.23	$630.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $8.71 / $13.49	Facility	26	$7.08	$8.71	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $50.12 / $323.59 / $660.69	Facility	TC	$50.12	$323.59	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $38.02 / $104.71	Professional		$13.18	$38.02	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.60 / $36.31	Professional	26	$7.08	$16.60	$36.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.38 / $67.61 / $208.93	Professional	50	$17.38	$67.61	$208.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.80 / $3.80 / $3.80	Professional	52	$3.80	$3.80	$3.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $50.12 / $81.28	Professional	TC	$21.88	$50.12	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $31.62 / $50.12	Facility		$9.77	$31.62	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $33.11 / $70.79	Professional		$10.47	$33.11	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $181.97	Facility		$52.48	$52.48	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.03 / $28.18 / $40.74	Facility	TC	$6.03	$28.18	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $158.49	Professional		$25.12	$44.67	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $11.48 / $41.69	Professional	26	$6.17	$11.48	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $36.31 / $120.23	Professional	TC	$19.05	$36.31	$120.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $295.12 / $446.68	Facility		$104.71	$295.12	$446.68
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $91.20 / $263.03 / $389.05	Facility	TC	$91.20	$263.03	$389.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $89.13	Professional		$56.23	$89.13	$89.13
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $20.42 / $21.38	Professional	26	$12.59	$20.42	$21.38
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $46.77 / $69.18	Professional	TC	$41.69	$46.77	$69.18
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 $22.91 / $33.11 / $63.10	Professional		$22.91	$33.11	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $9.77 / $17.38	Professional	26	$6.17	$9.77	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.44 / $46.77	Professional	TC	$16.60	$23.44	$46.77