Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.03 / $467.10 / $975.60	Facility		$137.03	$467.10	$975.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.27 / $24.27 / $24.27	Facility	26	$24.27	$24.27	$24.27
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $47.67 / $86.24 / $668.39	Facility	TC	$47.67	$86.24	$668.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $71.95 / $81.54	Professional		$65.41	$71.95	$81.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.83 / $169.40 / $459.36	Professional	26	$24.83	$169.40	$459.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.34 / $56.70 / $917.50	Professional	TC	$43.34	$56.70	$917.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $69.26 / $112.36	Facility		$28.07	$69.26	$112.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $94.89 / $192.97	Professional		$38.28	$94.89	$192.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.16 / $176.16 / $176.16	Facility		$176.16	$176.16	$176.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.22 / $71.22 / $71.22	Facility	26	$71.22	$71.22	$71.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $104.94 / $104.94 / $104.94	Facility	TC	$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $42.70 / $129.61	Professional		$40.39	$42.70	$129.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $13.53 / $43.84	Professional	26	$12.09	$13.53	$43.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.40 / $30.61 / $85.77	Professional	TC	$27.40	$30.61	$85.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $105.19 / $105.19	Professional		$105.19	$105.19	$105.19
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.68 / $35.19 / $51.75	Professional	26	$31.68	$35.19	$51.75
United Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $60.23 / $131.87	Professional		$46.06	$60.23	$131.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.48 / $19.88 / $40.83	Professional	26	$14.48	$19.88	$40.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.45 / $40.85 / $86.13	Professional	TC	$30.45	$40.85	$86.13