Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.60 / $142.60 / $142.60	Facility		$142.60	$142.60	$142.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.96 / $81.96 / $81.96	Facility	26	$81.96	$81.96	$81.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $156.86 / $259.52	Professional		$140.72	$156.86	$259.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $72.58 / $90.15	Professional	26	$48.86	$72.58	$90.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $70.36 / $70.36 / $77.14	Professional	52	$70.36	$70.36	$77.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.64 / $72.09 / $202.54	Professional	TC	$60.64	$72.09	$202.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.79 / $110.22 / $203.22	Facility		$65.79	$110.22	$203.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $146.78 / $313.64	Professional		$84.95	$146.78	$313.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.76 / $167.76 / $6,226.64	Facility		$167.76	$167.76	$6,226.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.06 / $94.06 / $94.06	Facility	26	$94.06	$94.06	$94.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $316.63 / $2,251.19	Professional		$121.63	$316.63	$2,251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.22 / $110.10 / $377.31	Professional	26	$61.22	$110.10	$377.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.29 / $157.50 / $815.00	Professional	TC	$54.29	$157.50	$815.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,039.16 / $3,039.16 / $17,234.34	Facility		$3,039.16	$3,039.16	$17,234.34
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.96 / $141.96 / $141.96	Professional	26	$141.96	$141.96	$141.96
United Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $435.30 / $721.39	Professional		$139.91	$435.30	$721.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.99 / $82.27 / $153.69	Professional	26	$50.99	$82.27	$153.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.81 / $169.89 / $625.66	Professional	TC	$60.81	$169.89	$625.66