Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $660.69 / $1,737.80	Facility		$257.04	$660.69	$1,737.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.90 / $100.00	Facility	26	$38.02	$38.90	$100.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $204.17 / $549.54 / $1,862.09	Facility	TC	$204.17	$549.54	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $562.34	Professional		$190.55	$269.15	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $43.65 / $87.10	Professional	26	$30.20	$43.65	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $208.93 / $426.58	Professional	TC	$162.18	$208.93	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $489.78	Professional		$218.78	$338.84	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $40.74 / $72.44	Professional	26	$28.18	$40.74	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $302.00 / $426.58	Professional	TC	$194.98	$302.00	$426.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,288.25 / $1,737.80	Facility		$660.69	$1,288.25	$1,737.80
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $891.25 / $1,230.27 / $1,258.93	Facility	TC	$891.25	$1,230.27	$1,258.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $37.15 / $37.15	Professional	26	$36.31	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $575.44	Professional		$218.78	$302.00	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.02 / $64.57	Professional	26	$25.70	$38.02	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $275.42 / $501.19	Professional	TC	$199.53	$275.42	$501.19