Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.10 / $28.71 / $28.71	Facility	26	$26.10	$28.71	$28.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $96.41 / $113.31	Professional		$89.94	$96.41	$113.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $24.66 / $44.86	Professional	26	$23.17	$24.66	$44.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.84 / $72.73 / $86.27	Professional	TC	$63.84	$72.73	$86.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $29.59 / $29.59	Professional		$29.59	$29.59	$29.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.07 / $30.07 / $30.07	Facility	26	$30.07	$30.07	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $134.37 / $463.06	Professional		$79.56	$134.37	$463.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.59 / $37.72 / $121.61	Professional	26	$21.59	$37.72	$121.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.96 / $95.12 / $341.45	Professional	TC	$57.96	$95.12	$341.45
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.72 / $40.65 / $62.97	Professional	26	$39.72	$40.65	$62.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $116.06 / $202.78	Professional		$75.92	$116.06	$202.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.94 / $33.15 / $65.06	Professional	26	$20.94	$33.15	$65.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.74 / $73.51 / $139.68	Professional	TC	$52.74	$73.51	$139.68