Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.93 / $413.81 / $538.65	Professional		$372.93	$413.81	$538.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.94 / $62.46 / $67.06	Professional	26	$53.94	$62.46	$67.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $170.40 / $206.91 / $262.18	Professional	52	$170.40	$206.91	$262.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $318.98 / $351.36 / $473.22	Professional	TC	$318.98	$351.36	$473.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.40 / $571.25 / $775.15	Professional		$372.40	$571.25	$775.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.54 / $84.43 / $109.80	Professional	26	$50.54	$84.43	$109.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $308.57 / $483.48 / $711.36	Professional	TC	$308.57	$483.48	$711.36
United Facility/Professional Professional Modifier Low / Median / High Price $349.06 / $440.52 / $929.92	Professional		$349.06	$440.52	$929.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.03 / $78.08 / $140.34	Professional	26	$51.03	$78.08	$140.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.57 / $412.73 / $789.58	Professional	TC	$300.57	$412.73	$789.58