Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.56 / $1,573.56 / $1,573.56	Facility		$1,573.56	$1,573.56	$1,573.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.80 / $14.80 / $14.80	Facility	26	$14.80	$14.80	$14.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $98.50 / $108.06	Professional		$81.59	$98.50	$108.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.73 / $15.03 / $33.39	Professional	26	$13.73	$15.03	$33.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $82.69 / $92.19	Professional	TC	$67.40	$82.69	$92.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $89.33 / $137.44	Facility		$17.89	$89.33	$137.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $17.34 / $17.34	Professional		$17.34	$17.34	$17.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.32 / $116.32 / $488.10	Facility		$116.32	$116.32	$488.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $17.75	Facility	26	$17.75	$17.75	$17.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $127.27 / $473.95	Professional		$80.62	$127.27	$473.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $22.88 / $77.12	Professional	26	$12.75	$22.88	$77.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.14 / $108.13 / $402.23	Professional	TC	$64.14	$108.13	$402.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.83 / $1,259.60 / $1,621.11	Facility		$1,230.83	$1,259.60	$1,621.11
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $32.57 / $40.31	Professional	26	$26.21	$32.57	$40.31
United Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $94.35 / $203.82	Professional		$72.51	$94.35	$203.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $21.14 / $37.77	Professional	26	$11.35	$21.14	$37.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.37 / $86.18 / $166.05	Professional	TC	$57.37	$86.18	$166.05