Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.54 / $88.60 / $112.93	Facility	26	$80.54	$88.60	$112.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $252.98 / $418.50	Professional		$220.19	$252.98	$418.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.95 / $80.55 / $163.94	Professional	26	$65.95	$80.55	$163.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.91 / $169.60 / $345.93	Professional	TC	$144.91	$169.60	$345.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $85.91 / $85.91	Professional		$85.91	$85.91	$85.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $87.25 / $87.25	Facility	26	$87.25	$87.25	$87.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.78 / $431.14 / $1,445.10	Professional		$216.78	$431.14	$1,445.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.30 / $107.39 / $353.93	Professional	26	$66.30	$107.39	$353.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.08 / $287.37 / $1,045.20	Professional	TC	$126.08	$287.37	$1,045.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.13 / $417.13 / $417.13	Professional		$417.13	$417.13	$417.13
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $126.42 / $164.77 / $205.05	Professional	26	$126.42	$164.77	$205.05
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $278.50 / $278.50 / $278.50	Professional	TC	$278.50	$278.50	$278.50
United Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $340.34 / $695.72	Professional		$144.44	$340.34	$695.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.64 / $93.54 / $190.32	Professional	26	$48.64	$93.54	$190.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.37 / $275.58 / $561.72	Professional	TC	$123.37	$275.58	$561.72