Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.48 / $79.48 / $79.48	Facility	26	$79.48	$79.48	$79.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $306.00 / $361.71	Professional		$269.42	$306.00	$361.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.68 / $87.67 / $103.78	Professional	26	$74.68	$87.67	$103.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.07 / $214.14 / $269.31	Professional	TC	$190.07	$214.14	$269.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $95.74 / $95.74	Professional		$95.74	$95.74	$95.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $430.48 / $1,413.90	Professional		$271.08	$430.48	$1,413.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.37 / $126.29 / $534.35	Professional	26	$81.37	$126.29	$534.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.72 / $300.29 / $907.41	Professional	TC	$189.72	$300.29	$907.41
United Facility/Professional Professional Modifier Low / Median / High Price $212.38 / $386.99 / $729.88	Professional		$212.38	$386.99	$729.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.65 / $118.81 / $157.76	Professional	26	$68.65	$118.81	$157.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.72 / $251.54 / $443.42	Professional	TC	$143.72	$251.54	$443.42