Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $173.78 / $323.59	Facility		$38.02	$173.78	$323.59
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $9.55 / $20.89	Facility	26	$8.13	$9.55	$20.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $60.26 / $371.54	Facility	TC	$23.44	$60.26	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $36.31 / $128.82	Professional		$10.47	$36.31	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.59 / $41.69	Professional	26	$7.41	$12.59	$41.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $165.96 / $323.59	Professional	50	$42.66	$165.96	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $29.51 / $67.61	Professional	TC	$19.95	$29.51	$67.61
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 $22.39 / $36.31 / $58.88	Professional		$22.39	$36.31	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $9.55 / $15.14	Professional	26	$5.89	$9.55	$15.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.92 / $44.67	Professional	TC	$17.38	$26.92	$44.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $208.93 / $407.38	Facility		$46.77	$208.93	$407.38
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	TC	$263.03	$263.03	$263.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.47 / $77.62	Professional	26	$7.76	$10.47	$77.62
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.91	Professional	TC	$22.39	$22.39	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $69.18	Professional		$25.70	$34.67	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.12 / $17.78	Professional	26	$6.61	$9.12	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $48.98	Professional	TC	$18.20	$24.55	$48.98