Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $63.10 / $63.10	Facility	26	$57.54	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $346.74	Professional		$123.03	$204.17	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $85.11 / $158.49	Professional	26	$50.12	$85.11	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $181.97 / $295.12	Professional	TC	$131.83	$181.97	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $61.66 / $89.13	Facility	26	$13.49	$61.66	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $398.11 / $1,230.27	Professional		$173.78	$398.11	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $77.62 / $275.42	Professional	26	$40.74	$77.62	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $316.23 / $851.14	Professional	TC	$125.89	$316.23	$851.14
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $144.54 / $147.91	Professional	26	$87.10	$144.54	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $537.03	Professional		$154.88	$302.00	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $64.57 / $117.49	Professional	26	$34.67	$64.57	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $234.42 / $426.58	Professional	TC	$112.20	$234.42	$426.58