Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.19 / $92.60 / $92.60	Facility	26	$84.19	$92.60	$92.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.29 / $425.94 / $499.02	Professional		$376.29	$425.94	$499.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.27 / $175.85 / $182.00	Professional	26	$79.27	$175.85	$182.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.02 / $333.33 / $407.24	Professional	TC	$297.02	$333.33	$407.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $93.82 / $430.89	Professional		$88.79	$93.82	$430.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.38 / $96.38 / $96.38	Facility	26	$96.38	$96.38	$96.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $434.51 / $1,546.24	Professional		$322.45	$434.51	$1,546.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.42 / $108.76 / $339.40	Professional	26	$76.42	$108.76	$339.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.93 / $345.98 / $1,206.83	Professional	TC	$230.93	$345.98	$1,206.83
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.16 / $120.10 / $177.64	Professional	26	$107.16	$120.10	$177.64
United Facility/Professional Professional Modifier Low / Median / High Price $254.24 / $343.26 / $564.73	Professional		$254.24	$343.26	$564.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.59 / $101.17 / $149.54	Professional	26	$60.59	$101.17	$149.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.29 / $242.99 / $405.56	Professional	TC	$161.29	$242.99	$405.56