Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $423.90 / $423.90 / $423.90	Facility	TC	$423.90	$423.90	$423.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.52 / $344.88 / $396.36	Professional		$313.52	$344.88	$396.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $160.71 / $192.34 / $369.84	Professional	26	$160.71	$192.34	$369.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $149.53 / $176.23 / $781.01	Professional	TC	$149.53	$176.23	$781.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.83 / $845.83 / $845.83	Facility		$845.83	$845.83	$845.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $197.83 / $197.83 / $197.83	Facility	26	$197.83	$197.83	$197.83
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $215.75 / $215.75 / $215.75	Facility	TC	$215.75	$215.75	$215.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $326.16	Professional		$326.16	$326.16	$326.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $153.56	Professional	26	$153.56	$153.56	$153.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $172.60	Professional	TC	$172.60	$172.60	$172.60
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $229.68 / $229.68 / $229.68	Professional	26	$229.68	$229.68	$229.68
United Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $450.02 / $1,012.54	Professional		$174.90	$450.02	$1,012.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.12 / $154.18 / $325.92	Professional	26	$98.12	$154.18	$325.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.76 / $326.68 / $702.91	Professional	TC	$83.76	$326.68	$702.91