Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.89 / $586.15 / $7,419.60	Facility		$261.89	$586.15	$7,419.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.97 / $32.97 / $32.97	Facility	26	$32.97	$32.97	$32.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.03 / $137.53 / $157.97	Professional		$125.03	$137.53	$157.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $79.92 / $325.58	Professional	26	$29.98	$79.92	$325.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.05 / $124.28 / $622.07	Professional	TC	$95.05	$124.28	$622.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $135.69 / $199.67	Facility		$38.29	$135.69	$199.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $169.78 / $342.91	Professional		$52.23	$169.78	$342.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.48 / $528.48 / $528.48	Facility		$528.48	$528.48	$528.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.67 / $213.67 / $213.67	Facility	26	$213.67	$213.67	$213.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $81.54 / $247.80	Professional		$69.95	$81.54	$247.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.84 / $22.83 / $64.17	Professional	26	$16.84	$22.83	$64.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.14 / $63.15 / $183.63	Professional	TC	$47.14	$63.15	$183.63
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.63 / $51.02 / $70.36	Professional	26	$46.63	$51.02	$70.36
United Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $108.20 / $230.59	Professional		$83.26	$108.20	$230.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $33.29 / $66.15	Professional	26	$21.15	$33.29	$66.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.63 / $75.31 / $148.87	Professional	TC	$56.63	$75.31	$148.87