Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.10 / $29.82 / $46.49	Facility	26	$27.10	$29.82	$46.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $93.53 / $121.59	Professional		$53.71	$93.53	$121.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $58.30 / $60.11	Professional	26	$25.26	$58.30	$60.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.58 / $62.60 / $93.00	Professional	TC	$26.58	$62.60	$93.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $60.07 / $125.06	Professional		$28.04	$60.07	$125.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $31.27	Facility	26	$31.27	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $83.61 / $173.60	Professional		$49.24	$83.61	$173.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.44 / $38.27 / $84.63	Professional	26	$22.44	$38.27	$84.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $43.45 / $132.46	Professional	TC	$25.70	$43.45	$132.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Professional		$99.82	$99.82	$99.82
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.07 / $47.62 / $73.48	Professional	26	$43.07	$47.62	$73.48
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.12 / $60.12 / $60.12	Professional	TC	$60.12	$60.12	$60.12
United Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $86.31 / $170.29	Professional		$49.41	$86.31	$170.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.88 / $28.78 / $52.28	Professional	26	$19.88	$28.78	$52.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $55.36 / $132.11	Professional	TC	$23.51	$55.36	$132.11