Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.06 / $433.34 / $1,466.40	Facility		$93.06	$433.34	$1,466.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.31 / $14.64 / $14.64	Facility	26	$13.31	$14.64	$14.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $34.36 / $39.29	Professional		$28.80	$34.36	$39.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.56 / $17.01 / $30.76	Professional	26	$12.56	$17.01	$30.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $22.31 / $25.01	Professional	TC	$17.39	$22.31	$25.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $26.33 / $50.79	Facility		$14.08	$26.33	$50.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $33.86 / $78.51	Professional		$15.36	$33.86	$78.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $42.87 / $42.87	Facility		$42.87	$42.87	$42.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.88 / $15.88 / $15.88	Facility	26	$15.88	$15.88	$15.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $47.95 / $86.95	Professional		$30.78	$47.95	$86.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $19.20 / $42.75	Professional	26	$11.37	$19.20	$42.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $28.88 / $48.68	Professional	TC	$19.41	$28.88	$48.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.16 / $425.64 / $1,173.83	Facility		$249.16	$425.64	$1,173.83
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $23.36 / $35.44	Professional	26	$21.37	$23.36	$35.44
United Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $34.31 / $62.51	Professional		$25.25	$34.31	$62.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $14.51 / $28.23	Professional	26	$10.37	$14.51	$28.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.39 / $19.60 / $36.20	Professional	TC	$14.39	$19.60	$36.20