Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $102.33 / $512.86	Facility		$42.66	$102.33	$512.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $12.30 / $26.92	Facility	26	$10.47	$12.30	$26.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $41.69 / $275.42	Facility	TC	$30.20	$41.69	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $154.88	Professional		$33.88	$46.77	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $42.66	Professional	26	$8.91	$13.80	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $186.21 / $204.17	Professional	50	$50.12	$186.21	$204.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.98 / $16.98 / $77.62	Professional	52	$16.98	$16.98	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $30.20 / $89.13	Professional	TC	$23.44	$30.20	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $75.86	Professional		$27.54	$45.71	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $13.18 / $19.50	Professional	26	$7.59	$13.18	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.11 / $56.23	Professional	TC	$19.95	$33.11	$56.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $177.83 / $295.12	Facility		$58.88	$177.83	$295.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $48.98	Professional		$38.02	$38.02	$48.98
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $17.78 / $213.80	Professional	26	$10.00	$17.78	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $89.13	Professional		$32.36	$40.74	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.75 / $25.12	Professional	26	$8.91	$11.75	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $29.51 / $63.10	Professional	TC	$22.91	$29.51	$63.10