Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.22 / $69.54 / $69.54	Facility	26	$63.22	$69.54	$69.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.50 / $213.74 / $380.74	Professional		$210.50	$213.74	$380.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.50 / $62.17 / $126.47	Professional	26	$53.50	$62.17	$126.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.52 / $157.00 / $306.18	Professional	TC	$150.52	$157.00	$306.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.66 / $407.13 / $1,445.10	Professional		$215.66	$407.13	$1,445.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.21 / $100.53 / $330.51	Professional	26	$52.21	$100.53	$330.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $130.80 / $354.77 / $1,161.20	Professional	TC	$130.80	$354.77	$1,161.20
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.14 / $98.48 / $103.99	Professional	26	$95.14	$98.48	$103.99
United Facility/Professional Professional Modifier Low / Median / High Price $184.21 / $379.56 / $766.36	Professional		$184.21	$379.56	$766.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $87.81 / $152.47	Professional	26	$40.79	$87.81	$152.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.63 / $275.58 / $624.44	Professional	TC	$139.63	$275.58	$624.44