Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.18 / $98.18 / $98.18	Facility	26	$98.18	$98.18	$98.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.72 / $360.97 / $755.31	Professional		$327.72	$360.97	$755.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.48 / $108.18 / $219.33	Professional	26	$97.48	$108.18	$219.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $199.03 / $199.03 / $199.03	Professional	52	$199.03	$199.03	$199.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $241.00 / $308.76	Professional	TC	$206.93	$241.00	$308.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $459.70 / $685.72	Professional		$192.11	$459.70	$685.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.21 / $443.63 / $1,584.04	Professional		$331.21	$443.63	$1,584.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.72 / $160.30 / $477.08	Professional	26	$99.72	$160.30	$477.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.97 / $297.41 / $1,106.96	Professional	TC	$230.97	$297.41	$1,106.96
United Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $371.44 / $559.41	Professional		$258.39	$371.44	$559.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.46 / $130.86 / $193.71	Professional	26	$85.46	$130.86	$193.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.37 / $239.10 / $390.33	Professional	TC	$167.37	$239.10	$390.33