Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.02 / $410.78 / $717.22	Facility		$360.02	$410.78	$717.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.60 / $22.66 / $24.63	Facility	26	$20.60	$22.66	$24.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.12 / $271.83 / $358.49	Facility	TC	$16.12	$271.83	$358.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $74.91 / $82.77	Professional		$35.26	$74.91	$82.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $25.47 / $43.88	Professional	26	$19.50	$25.47	$43.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.63 / $23.73 / $23.73	Professional	52	$17.63	$23.73	$23.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.66 / $21.98 / $58.55	Professional	TC	$14.66	$21.98	$58.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $27.48 / $50.30	Facility		$15.96	$27.48	$50.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $36.04 / $75.95	Professional		$20.72	$36.04	$75.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Facility		$41.38	$41.38	$41.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.35 / $23.35 / $23.35	Facility	26	$23.35	$23.35	$23.35
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $18.64 / $18.64 / $18.64	Facility	TC	$18.64	$18.64	$18.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $72.06 / $291.97	Professional		$33.46	$72.06	$291.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $28.42 / $104.67	Professional	26	$16.10	$28.42	$104.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $30.39 / $141.80	Professional	TC	$14.50	$30.39	$141.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.07 / $309.07 / $370.62	Facility		$309.07	$309.07	$370.62
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $44.69 / $354.86 / $439.59	Facility	TC	$44.69	$354.86	$439.59
United Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $68.08 / $136.47	Professional		$37.47	$68.08	$136.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.91 / $29.01 / $42.46	Professional	26	$17.91	$29.01	$42.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.50 / $41.43 / $85.98	Professional	TC	$18.50	$41.43	$85.98