Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.12 / $838.80 / $2,421.00	Facility		$92.12	$838.80	$2,421.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.20 / $71.20 / $590.94	Facility	26	$71.20	$71.20	$590.94
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $112.50 / $422.10 / $587.84	Facility	TC	$112.50	$422.10	$587.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $233.45 / $265.02	Professional		$211.70	$233.45	$265.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.09 / $174.69 / $673.38	Professional	26	$73.09	$174.69	$673.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.96 / $191.91 / $241.96	Professional	TC	$146.96	$191.91	$241.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $209.18 / $334.75	Facility		$81.00	$209.18	$334.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $282.33 / $574.90	Professional		$110.46	$282.33	$574.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.49 / $486.49 / $486.49	Facility		$486.49	$486.49	$486.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.01 / $142.01 / $142.01	Facility	26	$142.01	$142.01	$142.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $344.47 / $344.47 / $344.47	Facility	TC	$344.47	$344.47	$344.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $137.15 / $446.78	Professional		$106.70	$137.15	$446.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.95 / $43.10 / $136.69	Professional	26	$35.95	$43.10	$136.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.60 / $97.44 / $310.08	Professional	TC	$63.60	$97.44	$310.08
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.62 / $102.34 / $151.06	Professional	26	$76.62	$102.34	$151.06
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.06 / $275.06 / $275.06	Professional	TC	$275.06	$275.06	$275.06
United Facility/Professional Professional Modifier Low / Median / High Price $130.24 / $162.69 / $327.27	Professional		$130.24	$162.69	$327.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.57 / $64.50 / $140.40	Professional	26	$45.57	$64.50	$140.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.75 / $108.04 / $214.37	Professional	TC	$71.75	$108.04	$214.37