Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $184.10 / $273.00	Facility		$35.49	$184.10	$273.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.45 / $10.06 / $19.14	Facility	26	$7.45	$10.06	$19.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.64 / $60.78 / $287.00	Facility	TC	$23.64	$60.78	$287.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $31.10 / $74.61	Professional		$26.46	$31.10	$74.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $7.63 / $11.89	Professional	26	$6.94	$7.63	$11.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $21.35 / $42.04	Professional	TC	$18.82	$21.35	$42.04
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 $23.38 / $32.09 / $56.65	Professional		$23.38	$32.09	$56.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.61 / $9.08 / $13.87	Professional	26	$5.61	$9.08	$13.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $23.41 / $42.59	Professional	TC	$15.49	$23.41	$42.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $177.57 / $216.45	Facility		$50.90	$177.57	$216.45
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $263.00 / $263.00 / $403.65	Facility	TC	$263.00	$263.00	$403.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $37.60	Professional		$37.60	$37.60	$37.60
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $9.69 / $74.48	Professional	26	$7.01	$9.69	$74.48
United Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $34.94 / $69.95	Professional		$24.68	$34.94	$69.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $8.68 / $18.95	Professional	26	$6.60	$8.68	$18.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $25.10 / $51.00	Professional	TC	$18.86	$25.10	$51.00