Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.16 / $87.07 / $87.07	Facility	26	$79.16	$87.07	$87.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $400.00 / $522.50	Professional		$312.00	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.16 / $118.59 / $162.34	Professional	26	$79.16	$118.59	$162.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $232.84 / $281.41 / $368.50	Professional	TC	$232.84	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $337.54 / $634.45	Professional		$108.23	$337.54	$634.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.50 / $602.01 / $2,456.87	Professional		$297.50	$602.01	$2,456.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.86 / $113.29 / $369.09	Professional	26	$66.86	$113.29	$369.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $205.51 / $504.51 / $1,607.02	Professional	TC	$205.51	$504.51	$1,607.02
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.87 / $133.19 / $202.07	Professional	26	$121.87	$133.19	$202.07
United Facility/Professional Professional Modifier Low / Median / High Price $247.70 / $590.11 / $1,107.72	Professional		$247.70	$590.11	$1,107.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.83 / $102.77 / $191.24	Professional	26	$48.83	$102.77	$191.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.27 / $490.20 / $937.42	Professional	TC	$185.27	$490.20	$937.42