Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $299.70 / $673.20	Facility		$128.69	$299.70	$673.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.95 / $60.95 / $60.95	Facility	26	$60.95	$60.95	$60.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $144.63 / $669.18	Professional		$118.62	$144.63	$669.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.41 / $145.93 / $436.46	Professional	26	$55.41	$145.93	$436.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.20 / $82.33 / $228.92	Professional	TC	$63.20	$82.33	$228.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $108.55 / $203.09	Facility		$69.11	$108.55	$203.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $150.44 / $348.81	Professional		$87.60	$150.44	$348.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.07 / $228.07 / $228.07	Facility		$228.07	$228.07	$228.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.28 / $115.28 / $115.28	Facility	26	$115.28	$115.28	$115.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $76.28 / $228.69	Professional		$73.73	$76.28	$228.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.65 / $37.40 / $116.27	Professional	26	$30.65	$37.40	$116.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.34 / $46.12 / $126.29	Professional	TC	$36.34	$46.12	$126.29
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.89 / $87.47 / $128.04	Professional	26	$80.89	$87.47	$128.04
United Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $111.81 / $220.29	Professional		$78.50	$111.81	$220.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $55.59 / $107.71	Professional	26	$39.04	$55.59	$107.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.45 / $50.21 / $104.19	Professional	TC	$39.45	$50.21	$104.19