Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $729.12 / $965.29	Facility		$65.03	$729.12	$965.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.88 / $32.86 / $32.86	Facility	26	$29.88	$32.86	$32.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $79.42 / $201.18	Professional		$53.85	$79.42	$201.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.22 / $36.38 / $66.16	Professional	26	$27.22	$36.38	$66.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.66 / $35.36 / $184.73	Professional	TC	$22.66	$35.36	$184.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $39.50 / $79.43	Facility		$26.85	$39.50	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $56.59 / $122.77	Professional		$28.54	$56.59	$122.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $65.84 / $65.84	Facility		$65.84	$65.84	$65.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.51 / $34.51 / $34.51	Facility	26	$34.51	$34.51	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $82.08 / $310.07	Professional		$47.87	$82.08	$310.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.73 / $42.81 / $98.26	Professional	26	$24.73	$42.81	$98.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.63 / $37.84 / $262.73	Professional	TC	$22.63	$37.84	$262.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.42 / $1,479.42 / $1,479.42	Facility		$1,479.42	$1,479.42	$1,479.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $109.05 / $109.05	Professional		$109.05	$109.05	$109.05
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $50.91 / $78.28	Professional	26	$46.39	$50.91	$78.28
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $138.38 / $297.16	Professional		$48.72	$138.38	$297.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.85 / $35.70 / $61.71	Professional	26	$22.85	$35.70	$61.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $82.26 / $236.12	Professional	TC	$20.17	$82.26	$236.12