Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.65 / $83.65 / $83.65	Facility	26	$83.65	$83.65	$83.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.42 / $400.00 / $522.50	Professional		$267.42	$400.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.65 / $118.59 / $154.00	Professional	26	$83.65	$118.59	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.77 / $281.41 / $368.50	Professional	TC	$183.77	$281.41	$368.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $92.04 / $92.04	Professional		$92.04	$92.04	$92.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.77 / $597.36 / $2,484.41	Professional		$276.77	$597.36	$2,484.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.98 / $121.24 / $391.12	Professional	26	$70.98	$121.24	$391.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.74 / $480.60 / $1,688.92	Professional	TC	$162.74	$480.60	$1,688.92
United Facility/Professional Professional Modifier Low / Median / High Price $244.29 / $588.77 / $1,205.96	Professional		$244.29	$588.77	$1,205.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.77 / $122.72 / $202.69	Professional	26	$51.77	$122.72	$202.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.22 / $453.28 / $943.49	Professional	TC	$169.22	$453.28	$943.49