Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.78 / $66.84 / $95.65	Facility	26	$60.78	$66.84	$95.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.60 / $203.93 / $347.11	Professional		$167.60	$203.93	$347.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.41 / $60.78 / $125.12	Professional	26	$51.41	$60.78	$125.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.18 / $140.29 / $285.48	Professional	TC	$110.18	$140.29	$285.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $167.09 / $348.05	Professional		$80.84	$167.09	$348.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $65.98 / $65.98	Facility	26	$65.98	$65.98	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $357.17 / $1,395.51	Professional		$171.04	$357.17	$1,395.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.15 / $85.04 / $280.95	Professional	26	$50.15	$85.04	$280.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.92 / $269.76 / $879.15	Professional	TC	$96.92	$269.76	$879.15
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.44 / $95.65 / $155.15	Professional	26	$82.44	$95.65	$155.15
United Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $330.23 / $635.99	Professional		$141.83	$330.23	$635.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $77.59 / $161.19	Professional	26	$36.49	$77.59	$161.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.34 / $155.29 / $508.02	Professional	TC	$105.34	$155.29	$508.02