Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.23 / $44.48 / $44.48	Facility	26	$27.23	$44.48	$44.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $108.87 / $204.24	Professional		$91.15	$108.87	$204.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.31 / $51.52 / $53.21	Professional	26	$23.31	$51.52	$53.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.39 / $82.79 / $110.10	Professional	TC	$66.39	$82.79	$110.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $87.73 / $195.66	Professional		$27.62	$87.73	$195.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.20 / $28.20 / $28.20	Facility	26	$28.20	$28.20	$28.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $130.81 / $300.89	Professional		$92.62	$130.81	$300.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.81 / $36.13 / $72.95	Professional	26	$23.81	$36.13	$72.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.81 / $96.32 / $231.07	Professional	TC	$68.81	$96.32	$231.07
Highmark BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $284.95 / $695.95 / $1,147.58	Facility	26	$284.95	$695.95	$1,147.58
United Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $121.75 / $235.67	Professional		$76.03	$121.75	$235.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.75 / $31.68 / $48.21	Professional	26	$21.75	$31.68	$48.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.47 / $87.23 / $144.61	Professional	TC	$57.47	$87.23	$144.61