Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.68 / $289.80 / $913.56	Facility		$69.68	$289.80	$913.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.13 / $10.13 / $11.80	Facility	26	$10.13	$10.13	$11.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $59.56 / $59.56 / $70.39	Facility	TC	$59.56	$59.56	$70.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $68.90 / $82.20	Professional		$52.06	$68.90	$82.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $9.76 / $11.64	Professional	26	$7.50	$9.76	$11.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.56 / $59.13 / $70.39	Professional	TC	$44.56	$59.13	$70.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $44.80 / $139.44	Professional		$35.81	$44.80	$139.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.76 / $7.87 / $32.15	Professional	26	$5.76	$7.87	$32.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.05 / $36.93 / $107.29	Professional	TC	$30.05	$36.93	$107.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $72.23 / $72.23	Professional		$72.23	$72.23	$72.23
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.17 / $10.23 / $19.41	Professional	26	$10.17	$10.23	$19.41
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.21 / $62.21 / $62.21	Professional	TC	$62.21	$62.21	$62.21
United Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $67.47 / $173.21	Professional		$51.22	$67.47	$173.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $12.13 / $28.10	Professional	26	$7.51	$12.13	$28.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.29 / $47.34 / $145.11	Professional	TC	$33.29	$47.34	$145.11