Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $79.43 / $158.49	Facility	26	$67.61	$79.43	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $616.60	Professional		$190.55	$281.84	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $100.00	Professional	26	$52.48	$64.57	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $199.53 / $354.81	Professional	TC	$134.90	$199.53	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $549.54	Professional		$199.53	$363.08	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $70.79 / $112.20	Professional	26	$42.66	$70.79	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $269.15 / $457.09	Professional	TC	$138.04	$269.15	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $588.84	Professional		$173.78	$309.03	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $131.83	Professional	26	$43.65	$64.57	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $251.19 / $501.19	Professional	TC	$138.04	$251.19	$501.19