Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.01 / $796.18 / $1,091.33	Facility		$345.01	$796.18	$1,091.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.53 / $41.28 / $140.55	Facility	26	$37.53	$41.28	$140.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $122.62 / $244.71	Professional		$107.19	$122.62	$244.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $79.94 / $82.94	Professional	26	$34.67	$79.94	$82.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.66 / $99.56 / $146.22	Professional	TC	$69.66	$99.56	$146.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $81.23 / $151.50	Facility		$39.61	$81.23	$151.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $101.00 / $234.17	Professional		$43.21	$101.00	$234.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $132.36 / $238.35	Facility		$130.11	$132.36	$238.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $151.51 / $325.73	Professional		$93.66	$151.51	$325.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $52.77 / $118.53	Professional	26	$31.31	$52.77	$118.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.88 / $97.49 / $213.50	Professional	TC	$62.88	$97.49	$213.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.95 / $581.80 / $870.44	Facility		$377.95	$581.80	$870.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.55 / $203.89 / $309.31	Professional		$186.55	$203.89	$309.31
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.40 / $100.14 / $102.52	Professional	26	$60.40	$100.14	$102.52
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.72 / $137.87 / $144.77	Professional	TC	$134.72	$137.87	$144.77
United Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $125.23 / $237.94	Professional		$92.92	$125.23	$237.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.38 / $41.55 / $68.95	Professional	26	$31.38	$41.55	$68.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.59 / $86.05 / $160.69	Professional	TC	$58.59	$86.05	$160.69