Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $266.39 / $1,085.40	Facility		$94.50	$266.39	$1,085.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.28 / $26.28 / $26.28	Facility	26	$26.28	$26.28	$26.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $45.40 / $49.66	Professional		$41.28	$45.40	$49.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.90 / $61.13 / $310.50	Professional	26	$23.90	$61.13	$310.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $20.23 / $22.65	Professional	TC	$17.38	$20.23	$22.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $34.20 / $65.70	Facility		$24.43	$34.20	$65.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.92 / $84.92 / $84.92	Facility		$84.92	$84.92	$84.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.70 / $45.70 / $45.70	Facility	26	$45.70	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $26.18 / $76.72	Professional		$21.26	$26.18	$76.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $15.86 / $50.33	Professional	26	$13.35	$15.86	$50.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.40 / $11.49 / $30.36	Professional	TC	$5.40	$11.49	$30.36
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.97 / $38.61 / $57.11	Professional	26	$35.97	$38.61	$57.11
United Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $50.96 / $70.14	Professional		$26.65	$50.96	$70.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $23.86 / $51.76	Professional	26	$17.05	$23.86	$51.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.39 / $10.97 / $24.92	Professional	TC	$6.39	$10.97	$24.92