Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $117.17 / $129.68	Professional		$96.82	$117.17	$129.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $14.24 / $16.17	Professional	26	$11.42	$14.24	$16.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.41 / $102.72 / $115.77	Professional	TC	$85.41	$102.72	$115.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $111.83 / $144.78	Professional		$15.58	$111.83	$144.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.85 / $16.85 / $16.85	Facility	26	$16.85	$16.85	$16.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $133.40 / $225.87	Professional		$89.73	$133.40	$225.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $16.23 / $36.52	Professional	26	$11.66	$16.23	$36.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.76 / $117.17 / $189.36	Professional	TC	$78.76	$117.17	$189.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $169.79 / $179.70	Professional		$164.42	$169.79	$179.70
United Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $84.44 / $144.51	Professional		$66.11	$84.44	$144.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.46 / $12.70 / $22.77	Professional	26	$10.46	$12.70	$22.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.86 / $71.73 / $130.62	Professional	TC	$54.86	$71.73	$130.62