Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $159.49 / $370.64	Facility		$53.52	$159.49	$370.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $14.01 / $52.88	Facility	26	$10.36	$14.01	$52.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.49 / $91.20 / $291.20	Facility	TC	$35.49	$91.20	$291.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $45.87 / $105.80	Professional		$37.60	$45.87	$105.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $10.37 / $16.66	Professional	26	$9.65	$10.37	$16.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $31.22 / $48.06	Professional	TC	$27.55	$31.22	$48.06
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 $28.96 / $46.16 / $83.49	Professional		$28.96	$46.16	$83.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.72 / $12.55 / $19.32	Professional	26	$7.72	$12.55	$19.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.55 / $34.00 / $63.92	Professional	TC	$25.55	$34.00	$63.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.18 / $75.63 / $242.80	Facility		$66.18	$75.63	$242.80
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $267.00 / $267.00 / $267.00	Facility	TC	$267.00	$267.00	$267.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $44.08 / $44.59	Professional		$44.08	$44.08	$44.59
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $13.50 / $13.89	Professional	26	$9.75	$13.50	$13.89
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $50.41 / $102.70	Professional		$36.65	$50.41	$102.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $13.15 / $25.24	Professional	26	$8.84	$13.15	$25.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.42 / $37.70 / $75.73	Professional	TC	$27.42	$37.70	$75.73