Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.64 / $340.31 / $977.40	Facility		$95.64	$340.31	$977.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.98 / $29.98 / $29.98	Facility	26	$29.98	$29.98	$29.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $50.40 / $299.70 / $434.70	Facility	TC	$50.40	$299.70	$434.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $82.58 / $93.11	Professional		$75.08	$82.58	$93.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.26 / $71.50 / $214.47	Professional	26	$27.26	$71.50	$214.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.82 / $62.47 / $98.83	Professional	TC	$47.82	$62.47	$98.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $79.15 / $131.47	Facility		$34.58	$79.15	$131.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $108.83 / $225.81	Professional		$47.16	$108.83	$225.81
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 $47.39 / $50.99 / $155.44	Professional		$47.39	$50.99	$155.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.32 / $22.77 / $61.18	Professional	26	$15.32	$22.77	$61.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.22 / $34.90 / $96.88	Professional	TC	$28.22	$34.90	$96.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.60 / $43.62 / $64.11	Professional	26	$38.60	$43.62	$64.11
United Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $77.86 / $155.82	Professional		$52.66	$77.86	$155.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.42 / $33.47 / $75.36	Professional	26	$19.42	$33.47	$75.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.69 / $41.56 / $98.53	Professional	TC	$31.69	$41.56	$98.53