Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.64 / $47.32 / $91.59	Facility	26	$35.64	$47.32	$91.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $82.68 / $245.72	Professional		$81.65	$82.68	$245.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $35.64 / $98.30	Professional	26	$33.34	$35.64	$98.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.03 / $49.35 / $61.68	Professional	TC	$43.03	$49.35	$61.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $101.26 / $152.07	Professional		$64.56	$101.26	$152.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $40.01 / $66.37	Professional	26	$26.85	$40.01	$66.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.43 / $61.37 / $85.78	Professional	TC	$39.43	$61.37	$85.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $96.92 / $117.29	Professional		$78.31	$96.92	$117.29
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $33.68 / $46.90	Professional	26	$32.90	$33.68	$46.90
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.08 / $52.08 / $52.08	Professional	TC	$52.08	$52.08	$52.08
United Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $103.34 / $197.12	Professional		$72.28	$103.34	$197.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $45.40 / $87.45	Professional	26	$30.32	$45.40	$87.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.96 / $63.80 / $110.24	Professional	TC	$41.96	$63.80	$110.24