Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.91 / $377.91 / $377.91	Facility		$377.91	$377.91	$377.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $71.33 / $153.12	Professional		$52.94	$71.33	$153.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.83 / $18.67 / $28.45	Professional	26	$14.83	$18.67	$28.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.11 / $51.98 / $134.71	Professional	TC	$38.11	$51.98	$134.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $111.40 / $194.08	Professional		$57.33	$111.40	$194.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.76 / $20.72 / $32.86	Professional	26	$15.76	$20.72	$32.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.57 / $93.41 / $195.83	Professional	TC	$41.57	$93.41	$195.83
United Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $103.64 / $168.17	Professional		$55.27	$103.64	$168.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $19.54 / $42.55	Professional	26	$13.62	$19.54	$42.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.66 / $92.68 / $121.09	Professional	TC	$41.66	$92.68	$121.09