Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $407.38 / $724.44	Facility		$281.84	$407.38	$724.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $22.91 / $22.91	Facility	26	$19.95	$22.91	$22.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.22 / $269.15 / $309.03	Facility	TC	$16.22	$269.15	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $128.82	Professional		$33.88	$66.07	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.30 / $50.12	Professional	26	$18.20	$26.30	$50.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $95.50 / $95.50	Professional	50	$77.62	$95.50	$95.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	52	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $30.20 / $97.72	Professional	TC	$14.13	$30.20	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.18 / $56.23	Facility		$17.78	$28.18	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $77.62	Professional		$19.05	$33.88	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $22.91 / $33.11	Facility	26	$5.01	$22.91	$33.11
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $3.80 / $17.78 / $25.12	Facility	TC	$3.80	$17.78	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $60.26 / $302.00	Professional		$27.54	$60.26	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $26.92 / $107.15	Professional	26	$14.79	$26.92	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $25.12 / $147.91	Professional	TC	$11.75	$25.12	$147.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $467.74	Facility		$213.80	$371.54	$467.74
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $44.67 / $354.81 / $436.52	Facility	TC	$44.67	$354.81	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $120.23	Professional		$37.15	$63.10	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $24.55 / $38.90	Professional	26	$16.60	$24.55	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $39.81 / $81.28	Professional	TC	$18.62	$39.81	$81.28