Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $215.46 / $546.00	Facility		$45.14	$215.46	$546.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.75 / $11.81 / $38.46	Facility	26	$8.75	$11.81	$38.46
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.67 / $184.10 / $574.00	Facility	TC	$25.67	$184.10	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $33.72 / $77.25	Professional		$27.71	$33.72	$77.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.90 / $25.93	Professional	26	$8.13	$8.90	$25.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $100.00 / $350.00	Professional	50	$100.00	$100.00	$350.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $21.96 / $40.98	Professional	TC	$19.14	$21.96	$40.98
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 $23.69 / $32.70 / $61.45	Professional		$23.69	$32.70	$61.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $10.11 / $16.30	Professional	26	$6.50	$10.11	$16.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $23.30 / $44.96	Professional	TC	$15.49	$23.30	$44.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $177.57 / $242.80	Facility		$48.60	$177.57	$242.80
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $263.00 / $263.00 / $263.00	Facility	TC	$263.00	$263.00	$263.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $32.43 / $262.63	Professional		$31.99	$32.43	$262.63
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.33 / $11.38 / $93.12	Professional	26	$8.33	$11.38	$93.12
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $23.77 / $23.77	Professional	TC	$23.77	$23.77	$23.77
United Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $36.92 / $73.91	Professional		$26.72	$36.92	$73.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $10.25 / $21.31	Professional	26	$7.18	$10.25	$21.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.22 / $26.31 / $52.60	Professional	TC	$19.22	$26.31	$52.60