Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.93 / $76.93 / $109.59	Facility	26	$69.93	$76.93	$109.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.30 / $281.64 / $451.73	Professional		$234.30	$281.64	$451.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.87 / $72.00 / $143.69	Professional	26	$58.87	$72.00	$143.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.55 / $209.65 / $381.20	Professional	TC	$164.55	$209.65	$381.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $277.60 / $527.38	Professional		$92.72	$277.60	$527.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.64 / $75.64 / $75.64	Facility	26	$75.64	$75.64	$75.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.17 / $500.42 / $1,658.10	Professional		$227.17	$500.42	$1,658.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.49 / $97.79 / $321.32	Professional	26	$57.49	$97.79	$321.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.68 / $364.43 / $1,274.94	Professional	TC	$169.68	$364.43	$1,274.94
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.76 / $173.70 / $177.82	Professional	26	$104.76	$173.70	$177.82
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $342.92 / $342.92 / $342.92	Professional	TC	$342.92	$342.92	$342.92
United Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $393.20 / $794.50	Professional		$218.74	$393.20	$794.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.94 / $90.64 / $164.27	Professional	26	$41.94	$90.64	$164.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.91 / $330.39 / $685.38	Professional	TC	$157.91	$330.39	$685.38