Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $75.31 / $96.43	Professional		$69.94	$75.31	$96.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.14 / $46.77 / $104.24	Professional	26	$39.14	$46.77	$104.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $42.34	Professional		$42.34	$42.34	$42.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.02 / $52.02 / $52.02	Facility	26	$52.02	$52.02	$52.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $128.51 / $493.94	Professional		$84.70	$128.51	$493.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.66 / $70.84 / $266.24	Professional	26	$43.66	$70.84	$266.24
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $106.40 / $165.97	Professional		$63.14	$106.40	$165.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.78 / $61.48 / $84.27	Professional	26	$38.78	$61.48	$84.27