Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.68 / $79.94 / $79.94	Facility	26	$72.68	$79.94	$79.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $400.00 / $522.50	Professional		$242.22	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.68 / $118.59 / $154.55	Professional	26	$72.68	$118.59	$154.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.54 / $281.41 / $368.50	Professional	TC	$169.54	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $79.91 / $79.91	Professional		$79.91	$79.91	$79.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.40 / $81.40 / $81.40	Facility	26	$81.40	$81.40	$81.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.03 / $523.13 / $2,041.87	Professional		$245.03	$523.13	$2,041.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.17 / $94.29 / $328.97	Professional	26	$58.17	$94.29	$328.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.19 / $464.96 / $1,751.48	Professional	TC	$152.19	$464.96	$1,751.48
United Facility/Professional Professional Modifier Low / Median / High Price $221.72 / $490.26 / $1,132.43	Professional		$221.72	$490.26	$1,132.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.85 / $87.90 / $176.72	Professional	26	$44.85	$87.90	$176.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.41 / $408.41 / $941.57	Professional	TC	$156.41	$408.41	$941.57