Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.06 / $118.06 / $118.06	Facility	26	$118.06	$118.06	$118.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $95.04 / $233.51	Professional		$84.00	$95.04	$233.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.81 / $48.21 / $69.97	Professional	26	$40.81	$48.21	$69.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $47.76 / $85.15	Professional	TC	$40.17	$47.76	$85.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $102.11 / $157.43	Professional		$81.25	$102.11	$157.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $56.42 / $81.95	Professional	26	$38.79	$56.42	$81.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.45 / $54.51 / $84.81	Professional	TC	$42.45	$54.51	$84.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.41 / $98.41 / $98.41	Professional		$98.41	$98.41	$98.41
United Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $102.79 / $221.91	Professional		$80.22	$102.79	$221.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.72 / $57.77 / $105.18	Professional	26	$36.72	$57.77	$105.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.65 / $49.47 / $116.73	Professional	TC	$33.65	$49.47	$116.73