Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $91.20 / $389.05	Facility		$33.88	$91.20	$389.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $11.48 / $25.70	Facility	26	$10.00	$11.48	$25.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $93.33 / $426.58	Facility	TC	$23.44	$93.33	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $123.03	Professional		$27.54	$39.81	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.02 / $38.90	Professional	26	$8.13	$12.02	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $72.44	Professional	TC	$18.20	$25.12	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $60.26	Professional		$21.38	$34.67	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.30 / $18.62	Professional	26	$7.41	$12.30	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $22.91 / $40.74	Professional	TC	$13.80	$22.91	$40.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $147.91 / $245.47	Facility		$47.86	$147.91	$245.47
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $177.83 / $218.78 / $389.05	Facility	TC	$177.83	$218.78	$389.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.18 / $114.82	Professional	26	$9.55	$13.18	$114.82
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $21.88 / $25.12	Professional	TC	$21.38	$21.88	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $72.44	Professional		$25.12	$33.88	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.22 / $24.55	Professional	26	$8.51	$11.22	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.39 / $48.98	Professional	TC	$16.98	$22.39	$48.98