Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $92.89 / $252.70	Facility		$30.10	$92.89	$252.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $11.38 / $21.63	Facility	26	$8.41	$11.38	$21.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.01 / $54.02 / $265.30	Facility	TC	$21.01	$54.02	$265.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $29.39 / $67.31	Professional		$24.69	$29.39	$67.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $8.49 / $52.80	Professional	26	$7.84	$8.49	$52.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $18.48 / $22.99	Professional	TC	$16.60	$18.48	$22.99
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 $20.57 / $30.55 / $53.75	Professional		$20.57	$30.55	$53.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.28 / $10.18 / $15.69	Professional	26	$6.28	$10.18	$15.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.93 / $20.37 / $37.85	Professional	TC	$12.93	$20.37	$37.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $44.35 / $282.14	Facility		$42.12	$44.35	$282.14
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $128.93 / $265.00 / $379.00	Facility	TC	$128.93	$265.00	$379.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $27.73 / $35.29	Professional		$27.73	$27.73	$35.29
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $10.96 / $162.35	Professional	26	$8.02	$10.96	$162.35
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $19.80 / $19.80	Professional	TC	$19.80	$19.80	$19.80
United Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $29.17 / $65.15	Professional		$23.06	$29.17	$65.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $10.71 / $20.86	Professional	26	$7.25	$10.71	$20.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $21.19 / $45.40	Professional	TC	$16.51	$21.19	$45.40