Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $274.99 / $274.99 / $274.99	Facility	26	$274.99	$274.99	$274.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.44 / $387.05 / $387.05	Professional		$350.44	$387.05	$387.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.17 / $107.00 / $107.00	Professional	26	$105.17	$107.00	$107.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.28 / $280.05 / $280.05	Professional	TC	$245.28	$280.05	$280.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.16 / $385.80 / $670.36	Professional		$313.16	$385.80	$670.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.54 / $135.46 / $185.32	Professional	26	$94.54	$135.46	$185.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.36 / $256.33 / $476.08	Professional	TC	$203.36	$256.33	$476.08
United Facility/Professional Professional Modifier Low / Median / High Price $309.04 / $399.22 / $785.02	Professional		$309.04	$399.22	$785.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.21 / $137.44 / $243.04	Professional	26	$106.21	$137.44	$243.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $202.83 / $262.49 / $541.98	Professional	TC	$202.83	$262.49	$541.98