Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.70 / $496.32 / $1,072.54	Facility		$350.70	$496.32	$1,072.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.24 / $25.56 / $25.56	Facility	26	$23.24	$25.56	$25.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.08 / $130.13 / $150.79	Professional		$119.08	$130.13	$150.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.48 / $23.24 / $49.61	Professional	26	$20.48	$23.24	$49.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.84 / $106.95 / $128.66	Professional	TC	$95.84	$106.95	$128.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $121.80 / $182.70	Facility		$23.67	$121.80	$182.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $130.33 / $282.41	Professional		$25.82	$130.33	$282.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $147.30 / $363.00	Facility		$132.36	$147.30	$363.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.35 / $26.35 / $26.35	Facility	26	$26.35	$26.35	$26.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $182.70 / $387.07	Professional		$130.47	$182.70	$387.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.53 / $27.98 / $60.26	Professional	26	$21.53	$27.98	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.06 / $150.41 / $314.04	Professional	TC	$108.06	$150.41	$314.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.62 / $548.28 / $1,132.61	Facility		$445.62	$548.28	$1,132.61
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $38.04 / $39.72	Professional	26	$35.00	$38.04	$39.72
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.29 / $223.29 / $223.29	Professional	TC	$223.29	$223.29	$223.29
United Facility/Professional Professional Modifier Low / Median / High Price $121.23 / $188.51 / $341.68	Professional		$121.23	$188.51	$341.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $25.04 / $34.44	Professional	26	$16.89	$25.04	$34.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.56 / $160.28 / $299.19	Professional	TC	$93.56	$160.28	$299.19