Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.80 / $748.80 / $2,076.30	Facility		$298.80	$748.80	$2,076.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.01 / $36.01 / $36.01	Facility	26	$36.01	$36.01	$36.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $98.79 / $111.32	Professional		$89.81	$98.79	$111.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.74 / $90.38 / $348.56	Professional	26	$36.74	$90.38	$348.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.07 / $70.20 / $74.58	Professional	TC	$57.07	$70.20	$74.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $79.48 / $139.91	Facility		$41.15	$79.48	$139.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $109.28 / $240.31	Professional		$56.12	$109.28	$240.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.62 / $209.62 / $209.62	Facility		$209.62	$209.62	$209.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.87 / $90.87 / $90.87	Facility	26	$90.87	$90.87	$90.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $61.98 / $179.02	Professional		$51.82	$61.98	$179.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $29.81 / $89.05	Professional	26	$18.21	$29.81	$89.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.17 / $37.88 / $95.94	Professional	TC	$32.17	$37.88	$95.94
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.07 / $52.65 / $76.18	Professional	26	$37.07	$52.65	$76.18
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.73 / $105.73 / $105.73	Professional	TC	$105.73	$105.73	$105.73
United Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $100.34 / $178.36	Professional		$62.62	$100.34	$178.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $43.70 / $97.78	Professional	26	$23.25	$43.70	$97.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.22 / $50.11 / $105.97	Professional	TC	$36.22	$50.11	$105.97