Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.73 / $81.54 / $120.38	Facility	26	$31.73	$81.54	$120.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $113.03 / $167.82	Professional		$104.39	$113.03	$167.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $31.73 / $53.26	Professional	26	$29.75	$31.73	$53.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.59 / $83.28 / $103.82	Professional	TC	$69.59	$83.28	$103.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $118.98 / $194.42	Professional		$80.05	$118.98	$194.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.01 / $35.25 / $59.10	Professional	26	$24.01	$35.25	$59.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.68 / $84.89 / $135.32	Professional	TC	$56.68	$84.89	$135.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $131.22 / $251.65	Professional		$103.93	$131.22	$251.65
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.57 / $32.75 / $334.73	Professional	26	$31.57	$32.75	$334.73
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 $90.75 / $112.11 / $245.48	Professional		$90.75	$112.11	$245.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $40.68 / $77.81	Professional	26	$26.96	$40.68	$77.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.65 / $83.92 / $168.97	Professional	TC	$59.65	$83.92	$168.97