Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.07 / $140.87 / $140.87	Facility	26	$128.07	$140.87	$140.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $230.61 / $435.30	Professional		$203.03	$230.61	$435.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.31 / $140.87 / $275.92	Professional	26	$120.31	$140.87	$275.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.54 / $87.88 / $102.67	Professional	TC	$75.54	$87.88	$102.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $180.47 / $432.50	Professional		$79.48	$180.47	$432.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.65 / $147.65 / $147.65	Facility	26	$147.65	$147.65	$147.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $227.22 / $721.82	Professional		$90.08	$227.22	$721.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.06 / $160.41 / $492.68	Professional	26	$117.06	$160.41	$492.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.03 / $94.83 / $357.10	Professional	TC	$71.03	$94.83	$357.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.17 / $425.02 / $436.07	Professional		$280.17	$425.02	$436.07
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $171.95 / $262.25 / $266.18	Professional	26	$171.95	$262.25	$266.18
United Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $260.38 / $393.40	Professional		$176.35	$260.38	$393.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.61 / $154.79 / $225.26	Professional	26	$105.61	$154.79	$225.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.56 / $110.99 / $167.76	Professional	TC	$70.56	$110.99	$167.76