Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.48 / $8.75 / $16.64	Facility	26	$6.48	$8.75	$16.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.23 / $77.69 / $399.00	Facility	TC	$30.23	$77.69	$399.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $36.71 / $68.45	Professional		$28.41	$36.71	$68.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $6.48 / $27.00	Professional	26	$5.83	$6.48	$27.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.39 / $18.36 / $19.01	Professional	52	$15.39	$18.36	$19.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $26.59 / $41.13	Professional	TC	$22.57	$26.59	$41.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $31.00 / $66.63	Professional		$23.68	$31.00	$66.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $7.26 / $12.06	Professional	26	$4.90	$7.26	$12.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.92 / $25.68 / $54.44	Professional	TC	$15.92	$25.68	$54.44
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $301.00 / $301.00 / $301.00	Facility	TC	$301.00	$301.00	$301.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $41.75 / $182.41	Professional		$35.45	$41.75	$182.41
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $11.39 / $53.48	Professional	26	$6.17	$11.39	$53.48
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.95 / $28.95 / $28.95	Professional	TC	$28.95	$28.95	$28.95
United Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $36.78 / $80.92	Professional		$22.13	$36.78	$80.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.24 / $7.35 / $15.79	Professional	26	$5.24	$7.35	$15.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.91 / $24.83 / $63.77	Professional	TC	$19.91	$24.83	$63.77