Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.74 / $54.71 / $90.78	Facility	26	$49.74	$54.71	$90.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $203.07 / $272.73	Professional		$127.38	$203.07	$272.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.11 / $96.41 / $102.49	Professional	26	$44.11	$96.41	$102.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.18 / $103.68 / $221.14	Professional	TC	$81.18	$103.68	$221.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $126.59 / $266.82	Professional		$66.17	$126.59	$266.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $306.05 / $1,199.04	Professional		$130.71	$306.05	$1,199.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.06 / $71.84 / $266.24	Professional	26	$41.06	$71.84	$266.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.37 / $223.13 / $710.83	Professional	TC	$71.37	$223.13	$710.83
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.83 / $124.08 / $126.26	Professional	26	$74.83	$124.08	$126.26
United Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $314.70 / $547.40	Professional		$122.54	$314.70	$547.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.87 / $70.38 / $121.97	Professional	26	$29.87	$70.38	$121.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.73 / $180.37 / $424.74	Professional	TC	$81.73	$180.37	$424.74