Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.62 / $365.24 / $802.72	Facility		$132.62	$365.24	$802.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.88 / $23.92 / $61.50	Facility	26	$22.88	$23.92	$61.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $130.84 / $223.86	Professional		$117.70	$130.84	$223.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.05 / $21.46 / $32.74	Professional	26	$13.05	$21.46	$32.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.13 / $112.68 / $189.87	Professional	TC	$99.13	$112.68	$189.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.48 / $193.48 / $193.48	Facility		$193.48	$193.48	$193.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.32 / $201.49 / $299.00	Professional		$120.32	$201.49	$299.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $20.66 / $41.86	Professional	26	$12.76	$20.66	$41.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.35 / $188.73 / $261.29	Professional	TC	$108.35	$188.73	$261.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $145.04 / $146.54	Professional		$145.04	$145.04	$146.54
United Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $178.65 / $378.31	Professional		$129.19	$178.65	$378.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.92 / $21.78 / $63.04	Professional	26	$10.92	$21.78	$63.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.48 / $166.19 / $298.32	Professional	TC	$108.48	$166.19	$298.32