Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.32 / $111.32 / $114.68	Facility	26	$111.32	$111.32	$114.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.24 / $954.60 / $1,050.06	Professional		$724.24	$954.60	$1,050.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.10 / $187.33 / $216.32	Professional	26	$109.10	$187.33	$216.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $323.49 / $407.47 / $430.47	Professional	52	$323.49	$407.47	$430.47
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $129.40 / $162.99 / $172.19	Professional	53	$129.40	$162.99	$172.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $617.39 / $767.25 / $843.98	Professional	TC	$617.39	$767.25	$843.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.45 / $990.51 / $1,531.55	Professional		$671.45	$990.51	$1,531.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.35 / $187.79 / $271.51	Professional	26	$95.35	$187.79	$271.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $568.54 / $820.95 / $1,290.09	Professional	TC	$568.54	$820.95	$1,290.09
United Facility/Professional Professional Modifier Low / Median / High Price $717.30 / $1,021.03 / $2,182.40	Professional		$717.30	$1,021.03	$2,182.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.67 / $200.28 / $324.99	Professional	26	$105.67	$200.28	$324.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $610.48 / $948.34 / $1,678.84	Professional	TC	$610.48	$948.34	$1,678.84