Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $186.21 / $457.09	Facility		$32.36	$186.21	$457.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $8.71 / $19.05	Facility	26	$7.41	$8.71	$19.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $53.70 / $575.44	Facility	TC	$20.89	$53.70	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $28.84 / $109.65	Professional		$8.71	$28.84	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.75 / $38.02	Professional	26	$7.08	$11.75	$38.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $251.19 / $288.40	Professional	50	$79.43	$251.19	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $54.95	Professional	TC	$16.98	$22.91	$54.95
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 $19.95 / $30.90 / $50.12	Professional		$19.95	$30.90	$50.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $8.71 / $14.13	Professional	26	$5.50	$8.71	$14.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $22.39 / $35.48	Professional	TC	$13.49	$22.39	$35.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $181.97 / $234.42	Facility		$50.12	$181.97	$234.42
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 $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $123.03	Professional	26	$7.08	$10.00	$123.03
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $19.95 / $20.42	Professional	TC	$19.95	$19.95	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $64.57	Professional		$22.39	$29.51	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.71 / $16.22	Professional	26	$6.31	$8.71	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $21.38 / $45.71	Professional	TC	$16.22	$21.38	$45.71