Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.50 / $38.50 / $38.50	Facility	26	$38.50	$38.50	$38.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $104.75 / $114.22	Professional		$100.02	$104.75	$114.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.51 / $69.45 / $73.23	Professional	TC	$61.51	$69.45	$73.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $44.99 / $44.99	Professional		$44.99	$44.99	$44.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $45.47	Facility	26	$45.47	$45.47	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $178.73 / $831.81	Professional		$87.48	$178.73	$831.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.82 / $120.54 / $330.95	Professional	TC	$54.82	$120.54	$330.95
United Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $195.30 / $336.93	Professional		$85.34	$195.30	$336.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.56 / $99.82 / $243.01	Professional	TC	$48.56	$99.82	$243.01