Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.73 / $36.54 / $81.54	Facility	26	$31.73	$36.54	$81.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $118.21 / $294.22	Professional		$113.34	$118.21	$294.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $31.73 / $87.70	Professional	26	$29.75	$31.73	$87.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $52.38 / $59.11 / $63.09	Professional	52	$52.38	$59.11	$63.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.59 / $86.46 / $104.21	Professional	TC	$78.59	$86.46	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $118.61 / $218.33	Professional		$84.29	$118.61	$218.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.25 / $35.63 / $59.10	Professional	26	$24.25	$35.63	$59.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.54 / $84.48 / $159.56	Professional	TC	$58.54	$84.48	$159.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $118.53 / $340.74	Professional		$110.00	$118.53	$340.74
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.90 / $32.50 / $41.32	Professional	26	$31.90	$32.50	$41.32
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.00 / $66.00 / $66.00	Professional	TC	$66.00	$66.00	$66.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $119.97 / $275.76	Professional		$86.60	$119.97	$275.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.27 / $39.01 / $77.31	Professional	26	$27.27	$39.01	$77.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.69 / $87.72 / $198.45	Professional	TC	$60.69	$87.72	$198.45