Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.69 / $55.69 / $55.69	Facility	26	$55.69	$55.69	$55.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.76 / $325.33 / $376.72	Professional		$295.76	$325.33	$376.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.27 / $55.69 / $56.17	Professional	26	$48.27	$55.69	$56.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.13 / $271.60 / $320.55	Professional	TC	$245.13	$271.60	$320.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $397.36 / $767.74	Professional		$87.81	$397.36	$767.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $243.03 / $243.03 / $243.03	Facility	26	$243.03	$243.03	$243.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $193.73 / $581.95	Professional		$128.03	$193.73	$581.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.06 / $37.01 / $105.75	Professional	26	$28.06	$37.01	$105.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.02 / $162.88 / $476.20	Professional	TC	$91.02	$162.88	$476.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.36 / $453.36 / $453.36	Professional		$453.36	$453.36	$453.36
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.16 / $81.16 / $81.16	Professional	26	$81.16	$81.16	$81.16
United Facility/Professional Professional Modifier Low / Median / High Price $152.36 / $217.89 / $452.96	Professional		$152.36	$217.89	$452.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.94 / $53.77 / $109.15	Professional	26	$35.94	$53.77	$109.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.34 / $191.98 / $436.14	Professional	TC	$109.34	$191.98	$436.14