Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.08 / $373.18 / $373.18	Facility	26	$74.08	$373.18	$373.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.03 / $485.62 / $971.63	Professional		$400.03	$485.62	$971.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $81.48 / $163.08	Professional	26	$67.62	$81.48	$163.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $325.95 / $365.81 / $455.53	Professional	TC	$325.95	$365.81	$455.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $675.45 / $838.15	Professional		$162.69	$675.45	$838.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.17 / $86.17 / $86.17	Facility	26	$86.17	$86.17	$86.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.45 / $516.20 / $1,970.71	Professional		$451.45	$516.20	$1,970.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.54 / $98.24 / $347.67	Professional	26	$84.54	$98.24	$347.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $366.90 / $418.50 / $1,623.04	Professional	TC	$366.90	$418.50	$1,623.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.43 / $368.43 / $368.43	Professional		$368.43	$368.43	$368.43
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $184.74 / $184.74 / $184.74	Professional	26	$184.74	$184.74	$184.74
United Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $535.72 / $1,083.39	Professional		$333.17	$535.72	$1,083.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.29 / $112.27 / $226.66	Professional	26	$68.29	$112.27	$226.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.76 / $466.13 / $856.73	Professional	TC	$260.76	$466.13	$856.73