Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.56 / $494.44 / $569.64	Facility		$398.56	$494.44	$569.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.28 / $40.28 / $40.28	Facility	26	$40.28	$40.28	$40.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.51 / $155.44 / $233.00	Professional		$145.51	$155.44	$233.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $44.62 / $83.23	Professional	26	$36.86	$44.62	$83.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.58 / $111.32 / $171.99	Professional	TC	$104.58	$111.32	$171.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $87.92 / $151.07	Facility		$39.95	$87.92	$151.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $111.90 / $259.45	Professional		$43.58	$111.90	$259.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Facility		$250.00	$250.00	$250.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.86 / $44.86 / $44.86	Facility	26	$44.86	$44.86	$44.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $171.00 / $650.88	Professional		$121.76	$171.00	$650.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.17 / $54.47 / $179.30	Professional	26	$35.17	$54.47	$179.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.10 / $117.72 / $420.98	Professional	TC	$84.10	$117.72	$420.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.68 / $491.26 / $693.92	Facility		$339.68	$491.26	$693.92
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.14 / $79.31 / $81.19	Professional	26	$79.14	$79.31	$81.19
United Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $209.58 / $375.49	Professional		$119.76	$209.58	$375.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.32 / $58.11 / $100.75	Professional	26	$36.32	$58.11	$100.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.56 / $187.03 / $266.82	Professional	TC	$97.56	$187.03	$266.82