Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.22 / $69.54 / $69.54	Facility	26	$63.22	$69.54	$69.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $187.43 / $430.29	Professional		$183.84	$187.43	$430.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.83 / $71.18 / $129.01	Professional	26	$53.83	$71.18	$129.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.21 / $130.01 / $359.11	Professional	TC	$124.21	$130.01	$359.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $368.13 / $1,439.60	Professional		$160.24	$368.13	$1,439.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.21 / $95.87 / $325.02	Professional	26	$52.21	$95.87	$325.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.03 / $283.69 / $1,074.78	Professional	TC	$108.03	$283.69	$1,074.78
United Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $339.03 / $714.12	Professional		$160.74	$339.03	$714.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.18 / $89.94 / $148.81	Professional	26	$42.18	$89.94	$148.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.52 / $252.91 / $640.21	Professional	TC	$109.52	$252.91	$640.21