Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $91.50 / $493.42	Facility		$39.96	$91.50	$493.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.05 / $12.42 / $25.82	Facility	26	$10.05	$12.42	$25.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.34 / $92.87 / $430.92	Facility	TC	$23.34	$92.87	$430.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $32.71 / $78.67	Professional		$27.58	$32.71	$78.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $11.15 / $41.82	Professional	26	$9.66	$11.15	$41.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $19.94 / $27.65	Professional	TC	$17.92	$19.94	$27.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.77 / $137.77 / $137.77	Facility		$137.77	$137.77	$137.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $34.13 / $59.79	Professional		$23.08	$34.13	$59.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $12.15 / $18.71	Professional	26	$7.46	$12.15	$18.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.94 / $21.97 / $40.82	Professional	TC	$13.94	$21.97	$40.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $177.57 / $433.37	Facility		$46.78	$177.57	$433.37
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $160.72 / $173.77 / $416.38	Facility	TC	$160.72	$173.77	$416.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $41.83 / $41.83	Professional		$41.83	$41.83	$41.83
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $13.27 / $112.22	Professional	26	$9.44	$13.27	$112.22
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.33 / $21.33 / $25.27	Professional	TC	$21.33	$21.33	$25.27
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $36.40 / $73.06	Professional		$25.84	$36.40	$73.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $12.76 / $24.86	Professional	26	$8.52	$12.76	$24.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $26.04 / $49.46	Professional	TC	$17.98	$26.04	$49.46