Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.22 / $63.22 / $63.22	Facility	26	$63.22	$63.22	$63.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.65 / $198.65 / $228.07	Professional		$198.65	$198.65	$228.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.83 / $53.83 / $65.72	Professional	26	$53.83	$53.83	$65.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $67.79 / $67.79	Professional		$67.79	$67.79	$67.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $432.30 / $1,687.48	Professional		$201.36	$432.30	$1,687.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $88.83 / $290.12	Professional	26	$52.48	$88.83	$290.12
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $402.31 / $769.96	Professional		$173.78	$402.31	$769.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.84 / $90.38 / $168.14	Professional	26	$37.84	$90.38	$168.14