Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.13 / $197.04 / $197.04	Facility	26	$179.13	$197.04	$197.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.25 / $452.04 / $613.49	Professional		$359.25	$452.04	$613.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $179.13 / $218.09 / $483.26	Professional	26	$179.13	$218.09	$483.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $180.12 / $249.83 / $381.89	Professional	TC	$180.12	$249.83	$381.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.43 / $505.42 / $996.08	Professional		$317.43	$505.42	$996.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $256.04 / $256.04 / $256.04	Facility	26	$256.04	$256.04	$256.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $1,070.03 / $5,460.92	Professional		$515.54	$1,070.03	$5,460.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $223.21 / $296.27 / $1,061.75	Professional	26	$223.21	$296.27	$1,061.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.58 / $333.61 / $1,807.00	Professional	TC	$261.58	$333.61	$1,807.00
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $325.64 / $350.70 / $518.14	Professional	26	$325.64	$350.70	$518.14
United Facility/Professional Professional Modifier Low / Median / High Price $395.24 / $752.13 / $1,857.92	Professional		$395.24	$752.13	$1,857.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $145.22 / $228.29 / $482.48	Professional	26	$145.22	$228.29	$482.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.55 / $417.07 / $1,504.07	Professional	TC	$200.55	$417.07	$1,504.07