Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $130.25 / $130.25	Facility		$130.25	$130.25	$130.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $336.28 / $376.08 / $573.29	Facility	TC	$336.28	$376.08	$573.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $80.15 / $107.15	Professional		$34.42	$80.15	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $24.51 / $32.14	Professional	26	$19.18	$24.51	$32.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.49 / $17.21 / $18.04	Professional	52	$13.49	$17.21	$18.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.25 / $55.64 / $62.77	Professional	TC	$15.25	$55.64	$62.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $72.51 / $107.78	Professional		$28.66	$72.51	$107.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.64 / $25.33 / $38.45	Professional	26	$15.64	$25.33	$38.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.03 / $49.85 / $75.02	Professional	TC	$13.03	$49.85	$75.02
United Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.24 / $102.48	Professional		$37.46	$51.24	$102.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $26.54 / $48.15	Professional	26	$17.09	$26.54	$48.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.37 / $52.60 / $66.53	Professional	TC	$20.37	$52.60	$66.53