Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $64.57 / $64.57	Facility	26	$57.54	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $549.54	Professional		$234.42	$338.84	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $141.25	Professional	26	$57.54	$85.11	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $257.04 / $436.52	Professional	TC	$173.78	$257.04	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $64.57 / $91.20	Facility	26	$13.80	$64.57	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $562.34 / $2,089.30	Professional		$199.53	$562.34	$2,089.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $79.43 / $281.84	Professional	26	$42.66	$79.43	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $489.78 / $1,737.80	Professional	TC	$147.91	$489.78	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $933.25	Professional		$199.53	$426.58	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $67.61 / $123.03	Professional	26	$35.48	$67.61	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $331.13 / $831.76	Professional	TC	$147.91	$331.13	$831.76