Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.89 / $907.10 / $1,181.58	Facility		$118.89	$907.10	$1,181.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.53 / $25.88 / $25.88	Facility	26	$23.53	$25.88	$25.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $122.76 / $162.32	Professional		$108.09	$122.76	$162.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $23.32 / $51.54	Professional	26	$20.50	$23.32	$51.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.56 / $102.00 / $141.03	Professional	TC	$84.56	$102.00	$141.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $97.12 / $135.82	Facility		$27.55	$97.12	$135.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $26.68 / $114.28	Professional		$25.26	$26.68	$114.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.97 / $132.36 / $284.49	Facility		$131.97	$132.36	$284.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.13 / $150.91 / $305.81	Professional		$107.13	$150.91	$305.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $29.44 / $62.25	Professional	26	$22.13	$29.44	$62.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.26 / $120.45 / $234.56	Professional	TC	$84.26	$120.45	$234.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.77 / $643.83 / $1,065.94	Facility		$620.77	$643.83	$1,065.94
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.89 / $40.89 / $61.55	Professional	26	$40.89	$40.89	$61.55
United Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $153.27 / $284.52	Professional		$98.53	$153.27	$284.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $27.59 / $39.47	Professional	26	$17.55	$27.59	$39.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.95 / $125.41 / $240.67	Professional	TC	$75.95	$125.41	$240.67