Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.37 / $67.26 / $87.32	Facility	26	$64.37	$67.26	$87.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $194.27 / $223.41	Professional		$112.85	$194.27	$223.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $58.13 / $67.26	Professional	26	$49.65	$58.13	$67.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.62 / $101.71 / $163.68	Professional	TC	$52.62	$101.71	$163.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $216.46 / $576.14	Professional		$99.49	$216.46	$576.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.00 / $62.08 / $119.91	Professional	26	$48.00	$62.08	$119.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.53 / $111.43 / $505.40	Professional	TC	$47.53	$111.43	$505.40
United Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $192.71 / $615.73	Professional		$114.94	$192.71	$615.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.21 / $72.56 / $156.94	Professional	26	$48.21	$72.56	$156.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.20 / $95.30 / $545.83	Professional	TC	$59.20	$95.30	$545.83