Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.26 / $1,256.78 / $2,799.65	Facility		$506.26	$1,256.78	$2,799.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.21 / $73.30 / $1,866.38	Facility	26	$13.21	$73.30	$1,866.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.61 / $391.10 / $434.57	Professional		$185.61	$391.10	$434.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.02 / $85.05 / $147.69	Professional	26	$64.02	$85.05	$147.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.90 / $175.12 / $260.24	Professional	TC	$116.90	$175.12	$260.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $132.66 / $254.37	Facility		$69.80	$132.66	$254.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $168.92 / $393.17	Professional		$76.14	$168.92	$393.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.59 / $219.59 / $219.59	Facility		$219.59	$219.59	$219.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.29 / $291.45 / $577.66	Professional		$185.29	$291.45	$577.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.88 / $95.17 / $178.50	Professional	26	$65.88	$95.17	$178.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.42 / $184.00 / $390.55	Professional	TC	$119.42	$184.00	$390.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.95 / $1,829.88 / $2,579.37	Facility		$561.95	$1,829.88	$2,579.37
Highmark BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $98.13 / $98.13 / $98.13	Facility	26	$98.13	$98.13	$98.13
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.08 / $134.08 / $134.08	Professional	26	$134.08	$134.08	$134.08
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.32 / $149.07 / $162.93	Professional	TC	$147.32	$149.07	$162.93
United Facility/Professional Professional Modifier Low / Median / High Price $170.97 / $264.36 / $493.28	Professional		$170.97	$264.36	$493.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.35 / $83.90 / $134.24	Professional	26	$59.35	$83.90	$134.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.47 / $188.87 / $365.54	Professional	TC	$105.47	$188.87	$365.54