Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.67 / $189.67 / $289.54	Facility		$37.67	$189.67	$289.54
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 $24.34 / $67.03 / $310.00	Facility	TC	$24.34	$67.03	$310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $31.75 / $85.35	Professional		$20.48	$31.75	$85.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.09 / $21.62	Professional	26	$7.33	$8.09	$21.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $350.00 / $350.00 / $350.00	Professional	50	$350.00	$350.00	$350.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $23.64 / $32.15	Professional	TC	$20.81	$23.64	$32.15
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 / $35.42 / $58.23	Professional		$23.61	$35.42	$58.23
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 $17.23 / $26.49 / $44.05	Professional	TC	$17.23	$26.49	$44.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $210.19 / $386.71	Facility		$46.49	$210.19	$386.71
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 $30.17 / $40.82 / $262.63	Professional		$30.17	$40.82	$262.63
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $10.70 / $74.48	Professional	26	$7.80	$10.70	$74.48
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.55 / $22.55 / $22.76	Professional	TC	$22.55	$22.55	$22.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $31.97 / $69.15	Professional		$25.17	$31.97	$69.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $9.11 / $19.73	Professional	26	$6.60	$9.11	$19.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $27.49 / $50.27	Professional	TC	$18.29	$27.49	$50.27