Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.02 / $27.02 / $27.02	Facility	26	$27.02	$27.02	$27.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $101.62 / $127.83	Professional		$86.29	$101.62	$127.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $27.74 / $140.22	Professional	26	$23.42	$27.74	$140.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $74.59 / $97.52	Professional	TC	$62.86	$74.59	$97.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Professional		$36.72	$36.72	$36.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.53 / $101.53 / $101.53	Facility	26	$101.53	$101.53	$101.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $87.43 / $193.59	Professional		$55.67	$87.43	$193.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $22.01 / $55.31	Professional	26	$14.45	$22.01	$55.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.36 / $65.42 / $138.28	Professional	TC	$40.36	$65.42	$138.28
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.99 / $61.86 / $62.85	Professional	26	$42.99	$61.86	$62.85
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $80.73 / $178.14	Professional		$68.31	$80.73	$178.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.03 / $27.32 / $48.96	Professional	26	$18.03	$27.32	$48.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.24 / $58.57 / $129.18	Professional	TC	$49.24	$58.57	$129.18