Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.36 / $920.26 / $1,181.58	Facility		$699.36	$920.26	$1,181.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.65 / $37.02 / $54.55	Facility	26	$33.65	$37.02	$54.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $210.00 / $849.48 / $1,101.68	Facility	TC	$210.00	$849.48	$1,101.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $229.08 / $390.88	Professional		$172.56	$229.08	$390.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.75 / $54.55 / $71.98	Professional	26	$30.75	$54.55	$71.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.90 / $161.40 / $204.52	Professional	TC	$138.90	$161.40	$204.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $158.53 / $237.80	Facility		$33.72	$158.53	$237.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $169.63 / $367.56	Professional		$36.78	$169.63	$367.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.15 / $295.01 / $488.10	Facility		$209.15	$295.01	$488.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.51 / $37.51 / $37.51	Facility	26	$37.51	$37.51	$37.51
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $172.98 / $172.98 / $172.98	Facility	TC	$172.98	$172.98	$172.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.56 / $237.80 / $497.58	Professional		$169.56	$237.80	$497.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $42.92 / $94.71	Professional	26	$30.68	$42.92	$94.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.62 / $191.82 / $397.43	Professional	TC	$137.62	$191.82	$397.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.02 / $971.65 / $1,445.25	Facility		$472.02	$971.65	$1,445.25
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $502.83 / $914.15 / $1,147.58	Facility	TC	$502.83	$914.15	$1,147.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.80 / $313.80 / $324.43	Professional		$313.80	$313.80	$324.43
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.15 / $55.75 / $86.70	Professional	26	$50.15	$55.75	$86.70
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $259.54 / $259.54 / $284.63	Professional	TC	$259.54	$259.54	$284.63
United Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $241.58 / $437.87	Professional		$157.63	$241.58	$437.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.38 / $42.91 / $81.99	Professional	26	$29.38	$42.91	$81.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.35 / $183.36 / $382.76	Professional	TC	$126.35	$183.36	$382.76