Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.12 / $100.12 / $100.12	Facility	26	$100.12	$100.12	$100.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.35 / $350.44 / $418.13	Professional		$325.35	$350.44	$418.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.75 / $105.17 / $224.96	Professional	26	$93.75	$105.17	$224.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $225.98 / $245.28 / $307.20	Professional	TC	$225.98	$245.28	$307.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $120.05 / $120.05	Professional		$120.05	$120.05	$120.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.35 / $120.35 / $120.35	Facility	26	$120.35	$120.35	$120.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.54 / $446.64 / $1,591.85	Professional		$332.54	$446.64	$1,591.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.70 / $164.98 / $487.98	Professional	26	$101.70	$164.98	$487.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.32 / $296.57 / $1,103.83	Professional	TC	$230.32	$296.57	$1,103.83
United Facility/Professional Professional Modifier Low / Median / High Price $254.94 / $360.27 / $552.55	Professional		$254.94	$360.27	$552.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $137.44 / $197.89	Professional	26	$87.29	$137.44	$197.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.47 / $238.63 / $388.04	Professional	TC	$168.47	$238.63	$388.04