Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $25.70 / $25.70	Facility	26	$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $194.98	Professional		$79.43	$117.49	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $57.54	Professional	26	$21.88	$26.92	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $93.33 / $154.88	Professional	TC	$64.57	$93.33	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $30.20 / $43.65	Facility	26	$6.46	$30.20	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $602.56	Professional		$100.00	$173.78	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $38.02 / $131.83	Professional	26	$20.89	$38.02	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $131.83 / $478.63	Professional	TC	$75.86	$131.83	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $234.42	Professional		$81.28	$123.03	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $31.62 / $56.23	Professional	26	$19.50	$31.62	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $93.33 / $177.83	Professional	TC	$63.10	$93.33	$177.83