Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.07 / $52.87 / $52.87	Facility	26	$48.07	$52.87	$52.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $143.34 / $159.68	Professional		$109.45	$143.34	$159.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.21 / $47.17 / $104.23	Professional	26	$33.21	$47.17	$104.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $99.05 / $109.72	Professional	TC	$79.54	$99.05	$109.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $54.82	Professional		$54.82	$54.82	$54.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $55.98	Facility	26	$55.98	$55.98	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $197.15 / $704.73	Professional		$112.20	$197.15	$704.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $63.95 / $226.06	Professional	26	$36.61	$63.95	$226.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.89 / $132.91 / $478.63	Professional	TC	$79.89	$132.91	$478.63
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.87 / $82.61 / $127.54	Professional	26	$73.87	$82.61	$127.54
United Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $148.06 / $330.03	Professional		$97.76	$148.06	$330.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.49 / $47.42 / $91.37	Professional	26	$30.49	$47.42	$91.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.67 / $98.29 / $217.78	Professional	TC	$66.67	$98.29	$217.78