Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.32 / $86.32 / $86.32	Facility	26	$86.32	$86.32	$86.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.12 / $400.00 / $522.50	Professional		$273.12	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.32 / $118.59 / $154.00	Professional	26	$86.32	$118.59	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.80 / $281.41 / $368.50	Professional	TC	$186.80	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $96.35 / $96.35	Professional		$96.35	$96.35	$96.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.16 / $97.16 / $97.16	Facility	26	$97.16	$97.16	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.76 / $611.82 / $2,563.36	Professional		$253.76	$611.82	$2,563.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.87 / $134.74 / $442.51	Professional	26	$73.87	$134.74	$442.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $166.07 / $457.22 / $1,720.75	Professional	TC	$166.07	$457.22	$1,720.75
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.49 / $184.37 / $228.64	Professional	26	$147.49	$184.37	$228.64
United Facility/Professional Professional Modifier Low / Median / High Price $248.28 / $544.82 / $1,168.78	Professional		$248.28	$544.82	$1,168.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.41 / $116.50 / $209.17	Professional	26	$53.41	$116.50	$209.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.73 / $461.47 / $965.32	Professional	TC	$176.73	$461.47	$965.32