Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $606.29 / $920.26	Facility		$95.72	$606.29	$920.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.73 / $29.40 / $42.67	Facility	26	$26.73	$29.40	$42.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $171.65 / $228.74	Professional		$101.32	$171.65	$228.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $55.89 / $59.18	Professional	26	$24.07	$55.89	$59.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.40 / $50.67 / $63.37	Professional	52	$45.40	$50.67	$63.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.61 / $83.60 / $159.04	Professional	TC	$74.61	$83.60	$159.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $86.81 / $142.08	Facility		$27.79	$86.81	$142.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $94.72 / $219.61	Professional		$30.31	$94.72	$219.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $132.36 / $255.48	Facility		$123.40	$132.36	$255.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.47 / $30.47 / $30.47	Facility	26	$30.47	$30.47	$30.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $132.60 / $304.85	Professional		$88.81	$132.60	$304.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $35.56 / $82.50	Professional	26	$21.88	$35.56	$82.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.09 / $97.83 / $222.35	Professional	TC	$66.09	$97.83	$222.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.11 / $495.48 / $685.64	Facility		$256.11	$495.48	$685.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.46 / $199.99 / $300.31	Professional		$190.46	$199.99	$300.31
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.22 / $70.61 / $71.63	Professional	26	$42.22	$70.61	$71.63
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.54 / $147.22 / $154.59	Professional	TC	$129.54	$147.22	$154.59
United Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $104.59 / $221.26	Professional		$77.65	$104.59	$221.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $28.06 / $49.08	Professional	26	$19.07	$28.06	$49.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.04 / $76.53 / $147.47	Professional	TC	$52.04	$76.53	$147.47