Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.40 / $99.40 / $109.34	Facility	26	$99.40	$99.40	$109.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.28 / $388.20 / $477.43	Professional		$342.28	$388.20	$477.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.58 / $195.00 / $205.72	Professional	26	$84.58	$195.00	$205.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $248.41 / $284.33 / $378.88	Professional	TC	$248.41	$284.33	$378.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $349.24 / $690.63	Professional		$134.10	$349.24	$690.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.46 / $108.46 / $108.46	Facility	26	$108.46	$108.46	$108.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.44 / $616.35 / $1,604.34	Professional		$295.44	$616.35	$1,604.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.43 / $138.58 / $441.22	Professional	26	$82.43	$138.58	$441.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.01 / $456.28 / $1,163.07	Professional	TC	$213.01	$456.28	$1,163.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.24 / $612.24 / $612.24	Professional		$612.24	$612.24	$612.24
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $157.18 / $205.31 / $254.94	Professional	26	$157.18	$205.31	$254.94
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $470.49 / $470.49 / $470.49	Professional	TC	$470.49	$470.49	$470.49
United Facility/Professional Professional Modifier Low / Median / High Price $217.32 / $476.59 / $893.61	Professional		$217.32	$476.59	$893.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.70 / $125.85 / $233.78	Professional	26	$60.70	$125.85	$233.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.37 / $365.90 / $642.35	Professional	TC	$181.37	$365.90	$642.35