Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.92 / $130.50 / $273.60	Facility		$54.92	$130.50	$273.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.01 / $24.01 / $24.01	Facility	26	$24.01	$24.01	$24.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.38 / $30.91 / $637.98	Facility	TC	$26.38	$30.91	$637.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $54.92 / $61.18	Professional		$49.93	$54.92	$61.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $56.70 / $114.32	Professional	26	$20.77	$56.70	$114.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.10 / $36.67 / $84.03	Professional	TC	$28.10	$36.67	$84.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $42.68 / $80.20	Facility		$27.46	$42.68	$80.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $59.41 / $137.72	Professional		$34.45	$59.41	$137.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $173.88 / $173.88	Facility		$173.88	$173.88	$173.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.18 / $97.18 / $97.18	Facility	26	$97.18	$97.18	$97.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $76.69 / $76.69 / $76.69	Facility	TC	$76.69	$76.69	$76.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $49.57 / $149.94	Professional		$29.70	$49.57	$149.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $24.96 / $83.43	Professional	26	$12.14	$24.96	$83.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $28.29 / $66.52	Professional	TC	$17.22	$28.29	$66.52
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.58 / $34.06 / $50.70	Professional	26	$30.58	$34.06	$50.70
United Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $75.43 / $158.63	Professional		$34.07	$75.43	$158.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.28 / $39.94 / $104.81	Professional	26	$15.28	$39.94	$104.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.79 / $41.91 / $73.36	Professional	TC	$18.79	$41.91	$73.36