Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $459.00 / $839.70	Facility		$102.60	$459.00	$839.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.54 / $10.54 / $10.54	Facility	26	$10.54	$10.54	$10.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $54.47 / $329.40 / $810.00	Facility	TC	$54.47	$329.40	$810.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $66.23 / $75.45	Professional		$59.11	$66.23	$75.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $49.42 / $99.89	Professional	26	$10.75	$49.42	$99.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.52 / $60.89 / $64.70	Professional	TC	$49.52	$60.89	$64.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $69.97 / $97.32	Facility		$12.08	$69.97	$97.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $83.96 / $162.22	Professional		$16.47	$83.96	$162.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.22 / $132.22 / $132.22	Facility		$132.22	$132.22	$132.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.26 / $20.26 / $20.26	Facility	26	$20.26	$20.26	$20.26
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $111.96 / $111.96 / $111.96	Facility	TC	$111.96	$111.96	$111.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $38.70 / $100.34	Professional		$34.97	$38.70	$100.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.31 / $6.49 / $19.84	Professional	26	$5.31	$6.49	$19.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.36 / $32.86 / $85.41	Professional	TC	$29.36	$32.86	$85.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $104.03 / $104.03	Professional		$104.03	$104.03	$104.03
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.77 / $15.14 / $22.18	Professional	26	$13.77	$15.14	$22.18
United Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $51.22 / $111.95	Professional		$37.24	$51.22	$111.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $8.77 / $18.63	Professional	26	$6.71	$8.77	$18.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.53 / $43.71 / $94.38	Professional	TC	$30.53	$43.71	$94.38