Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $147.27 / $310.00	Facility		$37.34	$147.27	$310.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.78 / $10.50 / $19.98	Facility	26	$7.78	$10.50	$19.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.30 / $65.02 / $233.10	Facility	TC	$25.30	$65.02	$233.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $33.07 / $84.98	Professional		$27.73	$33.07	$84.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $7.78 / $12.48	Professional	26	$7.23	$7.78	$12.48
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.91 / $16.54 / $17.11	Professional	52	$13.91	$16.54	$17.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $22.76 / $34.40	Professional	TC	$20.07	$22.76	$34.40
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 $23.21 / $32.99 / $60.20	Professional		$23.21	$32.99	$60.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.81 / $9.00 / $14.48	Professional	26	$5.81	$9.00	$14.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.78 / $23.74 / $45.56	Professional	TC	$13.78	$23.74	$45.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $145.47 / $235.58	Facility		$56.18	$145.47	$235.58
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $179.85 / $179.85 / $216.00	Facility	TC	$179.85	$179.85	$216.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $31.08 / $31.08	Professional		$31.08	$31.08	$31.08
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $10.26 / $59.21	Professional	26	$7.31	$10.26	$59.21
United Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $32.13 / $73.13	Professional		$25.79	$32.13	$73.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $9.00 / $18.95	Professional	26	$6.34	$9.00	$18.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $24.51 / $55.11	Professional	TC	$18.64	$24.51	$55.11