Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.80 / $482.22 / $543.32	Facility		$300.80	$482.22	$543.32
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.71 / $28.71 / $28.71	Facility	26	$28.71	$28.71	$28.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $62.97 / $96.21	Professional		$43.96	$62.97	$96.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.71 / $48.42 / $64.23	Professional	26	$28.71	$48.42	$64.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.25 / $32.97 / $45.23	Professional	TC	$15.25	$32.97	$45.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $34.69 / $64.02	Facility		$16.42	$34.69	$64.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $42.17 / $98.96	Professional		$17.30	$42.17	$98.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $70.90 / $223.40	Facility		$53.68	$70.90	$223.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $34.29 / $34.29	Facility	26	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $92.18 / $250.84	Professional		$38.93	$92.18	$250.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $49.00 / $150.57	Professional	26	$24.76	$49.00	$150.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.36 / $32.85 / $100.27	Professional	TC	$14.36	$32.85	$100.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.39 / $490.15 / $1,004.55	Facility		$473.39	$490.15	$1,004.55
United Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $85.40 / $184.58	Professional		$44.33	$85.40	$184.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $43.39 / $74.09	Professional	26	$27.50	$43.39	$74.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $36.81 / $84.94	Professional	TC	$16.82	$36.81	$84.94