Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $93.33 / $223.87	Facility		$33.11	$93.33	$223.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $10.00 / $21.88	Facility	26	$8.32	$10.00	$21.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $28.18 / $346.74	Facility	TC	$20.89	$28.18	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $107.15	Professional		$24.55	$37.15	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $36.31	Professional	26	$7.94	$10.00	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.44 / $66.07	Professional	TC	$16.60	$23.44	$66.07
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 $19.05 / $30.90 / $53.70	Professional		$19.05	$30.90	$53.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.23 / $15.85	Professional	26	$6.31	$10.23	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $21.38 / $37.15	Professional	TC	$12.88	$21.38	$37.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $45.71 / $229.09	Facility		$42.66	$45.71	$229.09
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $128.82 / $128.82 / $380.19	Facility	TC	$128.82	$128.82	$380.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $177.83	Professional	26	$7.94	$10.96	$177.83
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	TC	$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $64.57	Professional		$22.91	$30.20	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.55 / $20.42	Professional	26	$7.24	$9.55	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $20.42 / $44.67	Professional	TC	$15.49	$20.42	$44.67