Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.34 / $2,171.19 / $4,025.92	Facility		$146.34	$2,171.19	$4,025.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.89 / $31.89 / $37.79	Facility	26	$31.89	$31.89	$37.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $109.61 / $146.34	Professional		$103.56	$109.61	$146.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.06 / $31.89 / $34.59	Professional	26	$24.06	$31.89	$34.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.95 / $85.55 / $114.46	Professional	TC	$68.95	$85.55	$114.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $112.51 / $169.94	Professional		$63.91	$112.51	$169.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $25.61 / $58.03	Professional	26	$21.66	$25.61	$58.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.25 / $86.91 / $111.91	Professional	TC	$42.25	$86.91	$111.91
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.27 / $32.27 / $32.88	Professional	26	$32.27	$32.27	$32.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $144.85 / $393.05	Professional		$83.26	$144.85	$393.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.93 / $38.46 / $89.06	Professional	26	$24.93	$38.46	$89.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.63 / $108.27 / $303.99	Professional	TC	$56.63	$108.27	$303.99