Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.84 / $307.27 / $614.55	Facility		$96.84	$307.27	$614.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.01 / $22.01 / $25.98	Facility	26	$22.01	$22.01	$25.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $74.81 / $74.81 / $86.07	Facility	TC	$74.81	$74.81	$86.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $94.20 / $96.85	Professional		$71.00	$94.20	$96.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.54 / $22.02 / $22.30	Professional	26	$16.54	$22.02	$22.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.46 / $71.90 / $74.83	Professional	TC	$54.46	$71.90	$74.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $63.76 / $192.88	Professional		$47.06	$63.76	$192.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $17.72 / $72.62	Professional	26	$13.08	$17.72	$72.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.97 / $46.04 / $120.25	Professional	TC	$33.97	$46.04	$120.25
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $22.50 / $22.61	Professional	26	$22.38	$22.50	$22.61
United Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $92.11 / $240.13	Professional		$55.92	$92.11	$240.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $26.68 / $61.78	Professional	26	$17.13	$26.68	$61.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.14 / $63.52 / $178.35	Professional	TC	$52.14	$63.52	$178.35