Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.27 / $36.27 / $69.84	Facility	26	$36.27	$36.27	$69.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $111.21 / $137.31	Professional		$90.73	$111.21	$137.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.81 / $24.26 / $28.43	Professional	26	$23.81	$24.26	$28.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $82.78 / $109.52	Professional	TC	$66.45	$82.78	$109.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.20 / $241.21	Professional		$91.20	$120.20	$241.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.46 / $29.76 / $50.62	Professional	26	$20.46	$29.76	$50.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.21 / $86.75 / $190.10	Professional	TC	$56.21	$86.75	$190.10
United Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $122.40 / $275.93	Professional		$88.54	$122.40	$275.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.80 / $32.02 / $67.45	Professional	26	$21.80	$32.02	$67.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.50 / $96.91 / $209.61	Professional	TC	$65.50	$96.91	$209.61