Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $851.14	Professional		$323.59	$371.54	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $107.15 / $223.87	Professional	26	$97.72	$107.15	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $251.19 / $457.09	Professional	TC	$218.78	$251.19	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $177.83	Facility	26	$26.92	$125.89	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $1,584.89	Professional		$316.23	$416.87	$1,584.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $151.36 / $489.78	Professional	26	$102.33	$151.36	$489.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $275.42 / $1,096.48	Professional	TC	$213.80	$275.42	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $549.54	Professional		$257.04	$354.81	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $190.55	Professional	26	$87.10	$125.89	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $218.78 / $380.19	Professional	TC	$165.96	$218.78	$380.19