Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $79.43 / $125.89	Facility	26	$70.79	$79.43	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $1,047.13	Professional		$194.98	$407.38	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $141.25 / $199.53	Professional	26	$64.57	$141.25	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $218.78 / $478.63	Professional	TC	$123.03	$218.78	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $407.38	Professional		$91.20	$169.82	$407.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $79.43 / $114.82	Facility	26	$16.98	$79.43	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $537.03 / $2,398.83	Professional		$165.96	$537.03	$2,398.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $100.00 / $380.19	Professional	26	$52.48	$100.00	$380.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $363.08 / $1,479.11	Professional	TC	$104.71	$363.08	$1,479.11
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $120.23 / $190.55	Professional	26	$109.65	$120.23	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $891.25	Professional		$173.78	$371.54	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $85.11 / $151.36	Professional	26	$44.67	$85.11	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $251.19 / $758.58	Professional	TC	$107.15	$251.19	$758.58