Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.44 / $74.18 / $74.18	Facility	26	$67.44	$74.18	$74.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $132.56 / $238.19	Professional		$118.33	$132.56	$238.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $65.70 / $147.13	Professional	26	$52.85	$65.70	$147.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.07 / $62.87 / $180.05	Professional	TC	$53.07	$62.87	$180.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $59.08 / $59.08	Professional		$59.08	$59.08	$59.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.09 / $77.09 / $77.09	Facility	26	$77.09	$77.09	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $270.08 / $2,247.52	Professional		$102.37	$270.08	$2,247.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.16 / $91.55 / $311.81	Professional	26	$55.16	$91.55	$311.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.21 / $137.83 / $815.00	Professional	TC	$47.21	$137.83	$815.00
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.20 / $116.26 / $116.26	Professional	26	$116.20	$116.26	$116.26
United Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $271.39 / $717.07	Professional		$118.22	$271.39	$717.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.48 / $70.06 / $152.38	Professional	26	$46.48	$70.06	$152.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.86 / $154.21 / $603.78	Professional	TC	$53.86	$154.21	$603.78