Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.84 / $790.54 / $1,327.28	Facility		$243.84	$790.54	$1,327.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.01 / $41.81 / $41.81	Facility	26	$38.01	$41.81	$41.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $202.03 / $325.44 / $2,024.19	Facility	TC	$202.03	$325.44	$2,024.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.31 / $236.87 / $489.43	Professional		$189.31	$236.87	$489.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.05 / $45.61 / $81.43	Professional	26	$30.05	$45.61	$81.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $183.67 / $228.63	Professional	TC	$162.34	$183.67	$228.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $202.50 / $303.75	Facility		$38.68	$202.50	$303.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $216.68 / $469.50	Professional		$42.19	$216.68	$469.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.80 / $295.01 / $613.26	Facility		$268.80	$295.01	$613.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.91 / $42.91 / $42.91	Facility	26	$42.91	$42.91	$42.91
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $227.42 / $227.42 / $227.42	Facility	TC	$227.42	$227.42	$227.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $302.57 / $653.90	Professional		$217.69	$302.57	$653.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $42.34 / $98.44	Professional	26	$35.11	$42.34	$98.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.93 / $251.02 / $540.83	Professional	TC	$180.93	$251.02	$540.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $577.73 / $841.00 / $1,230.83	Facility		$577.73	$841.00	$1,230.83
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $249.19 / $885.49 / $1,657.83	Facility	TC	$249.19	$885.49	$1,657.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.81 / $369.81 / $392.13	Professional		$369.81	$369.81	$392.13
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.33 / $64.36 / $99.55	Professional	26	$59.33	$64.36	$99.55
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $374.18 / $374.18 / $374.18	Professional	TC	$374.18	$374.18	$374.18
United Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $295.92 / $535.63	Professional		$204.44	$295.92	$535.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.74 / $41.83 / $56.26	Professional	26	$25.74	$41.83	$56.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.07 / $252.91 / $488.97	Professional	TC	$169.07	$252.91	$488.97