Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $175.00 / $226.29	Facility		$32.77	$175.00	$226.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.09 / $10.94 / $20.81	Facility	26	$8.09	$10.94	$20.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.64 / $31.60 / $287.00	Facility	TC	$23.64	$31.60	$287.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $29.48 / $55.03	Professional		$26.46	$29.48	$55.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $7.78 / $11.34	Professional	26	$7.33	$7.78	$11.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $21.69 / $39.65	Professional	TC	$19.14	$21.69	$39.65
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 $23.61 / $32.09 / $57.86	Professional		$23.61	$32.09	$57.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.08 / $15.08	Professional	26	$6.03	$9.08	$15.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $23.28 / $42.59	Professional	TC	$15.49	$23.28	$42.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $154.28 / $231.00	Facility		$45.35	$154.28	$231.00
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $262.33 / $262.33 / $263.00	Facility	TC	$262.33	$262.33	$263.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $29.86 / $29.86	Professional		$29.86	$29.86	$29.86
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $10.53 / $97.89	Professional	26	$7.62	$10.53	$97.89
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.24 / $22.24 / $22.24	Professional	TC	$22.24	$22.24	$22.24
United Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $34.90 / $69.95	Professional		$23.94	$34.90	$69.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $9.86 / $19.73	Professional	26	$6.60	$9.86	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.92 / $25.05 / $50.22	Professional	TC	$16.92	$25.05	$50.22