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 $114.82 / $169.82 / $338.84	Professional		$114.82	$169.82	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $102.33 / $151.36	Professional	26	$51.29	$102.33	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $154.88 / $269.15	Professional	TC	$109.65	$154.88	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $154.88 / $354.81	Professional		$72.44	$154.88	$354.81
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 $144.54 / $398.11 / $1,230.27	Professional		$144.54	$398.11	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $77.62 / $275.42	Professional	26	$41.69	$77.62	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $309.03 / $870.96	Professional	TC	$97.72	$309.03	$870.96
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $95.50 / $147.91	Professional	26	$87.10	$95.50	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $295.12 / $524.81	Professional		$134.90	$295.12	$524.81
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 $97.72 / $223.87 / $426.58	Professional	TC	$97.72	$223.87	$426.58