Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $276.12 / $276.12 / $276.12	Facility	26	$276.12	$276.12	$276.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $199.15 / $283.95	Professional		$162.28	$199.15	$283.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.10 / $110.56 / $162.55	Professional	26	$94.10	$110.56	$162.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.17 / $87.67 / $121.40	Professional	TC	$68.17	$87.67	$121.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $212.23 / $285.35	Professional		$90.08	$212.23	$285.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.14 / $128.55 / $190.62	Professional	26	$90.14	$128.55	$190.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.63 / $98.16 / $153.01	Professional	TC	$60.63	$98.16	$153.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $177.68 / $182.60	Professional		$174.20	$177.68	$182.60
United Facility/Professional Professional Modifier Low / Median / High Price $154.61 / $227.14 / $437.01	Professional		$154.61	$227.14	$437.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.88 / $126.41 / $247.30	Professional	26	$84.88	$126.41	$247.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.98 / $99.16 / $189.71	Professional	TC	$68.98	$99.16	$189.71