Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.36 / $33.39 / $33.39	Facility	26	$30.36	$33.39	$33.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $141.29 / $169.69	Professional		$74.70	$141.29	$169.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.84 / $65.27 / $67.94	Professional	26	$27.84	$65.27	$67.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.34 / $50.99 / $68.44	Professional	TC	$44.34	$50.99	$68.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $67.52 / $164.59	Professional		$34.81	$67.52	$164.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.11 / $35.11 / $35.11	Facility	26	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $106.48 / $226.70	Professional		$65.50	$106.48	$226.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.21 / $41.91 / $96.13	Professional	26	$25.21	$41.91	$96.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.65 / $62.96 / $130.57	Professional	TC	$40.65	$62.96	$130.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $137.75 / $215.00	Professional		$73.09	$137.75	$215.00
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.86 / $52.10 / $80.51	Professional	26	$46.86	$52.10	$80.51
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.23 / $86.59 / $90.92	Professional	TC	$80.23	$86.59	$90.92
United Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $85.19 / $162.51	Professional		$63.31	$85.19	$162.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.92 / $32.22 / $61.78	Professional	26	$21.92	$32.22	$61.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.22 / $55.45 / $102.73	Professional	TC	$39.22	$55.45	$102.73