Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.81 / $118.81 / $118.81	Facility	26	$118.81	$118.81	$118.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $219.32 / $328.98	Professional		$205.02	$219.32	$328.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.34 / $111.13 / $124.73	Professional	26	$101.34	$111.13	$124.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.51 / $103.68 / $206.95	Professional	TC	$100.51	$103.68	$206.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $128.99 / $128.99	Professional		$128.99	$128.99	$128.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.66 / $129.66 / $129.66	Facility	26	$129.66	$129.66	$129.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.61 / $750.82 / $1,249.61	Professional		$359.61	$750.82	$1,249.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.55 / $162.68 / $530.10	Professional	26	$98.55	$162.68	$530.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.05 / $512.94 / $942.66	Professional	TC	$261.05	$512.94	$942.66
United Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $540.91 / $961.44	Professional		$232.19	$540.91	$961.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.45 / $138.60 / $279.87	Professional	26	$71.45	$138.60	$279.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.51 / $373.84 / $762.57	Professional	TC	$152.51	$373.84	$762.57