Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $933.25 / $1,174.90	Facility		$83.18	$933.25	$1,174.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $42.66 / $42.66	Facility	26	$38.02	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $467.74	Professional		$165.96	$229.09	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $52.48 / $89.13	Professional	26	$34.67	$52.48	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $162.18 / $251.19	Professional	TC	$128.82	$162.18	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $154.88 / $239.88	Facility		$42.66	$154.88	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $141.25 / $331.13	Professional		$39.81	$141.25	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $489.78	Facility		$275.42	$275.42	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $63.10	Facility	26	$9.33	$43.65	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $831.76	Professional		$141.25	$251.19	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $46.77 / $177.83	Professional	26	$31.62	$46.77	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $204.17 / $676.08	Professional	TC	$128.82	$204.17	$676.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $1,096.48	Facility		$467.74	$758.58	$1,096.48
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $102.33	Professional	26	$66.07	$83.18	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $407.38	Professional		$154.88	$218.78	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $41.69 / $61.66	Professional	26	$28.84	$41.69	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $181.97 / $346.74	Professional	TC	$117.49	$181.97	$346.74