Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $602.56 / $3,162.28	Facility		$302.00	$602.56	$3,162.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $28.84 / $28.84	Facility	26	$25.70	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $245.47	Professional		$72.44	$112.20	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $42.66 / $60.26	Professional	26	$23.99	$42.66	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $81.28 / $128.82	Professional	TC	$50.12	$81.28	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $97.72 / $162.18	Facility		$32.36	$97.72	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $112.20 / $234.42	Professional		$34.67	$112.20	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $30.20 / $42.66	Facility	26	$6.46	$30.20	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $537.03	Professional		$83.18	$134.90	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $34.67 / $123.03	Professional	26	$20.42	$34.67	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $102.33 / $407.38	Professional	TC	$61.66	$102.33	$407.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $389.05 / $691.83	Facility		$125.89	$389.05	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $165.96	Professional		$53.70	$87.10	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.12 / $42.66	Professional	26	$17.38	$25.12	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $63.10 / $100.00	Professional	TC	$35.48	$63.10	$100.00