Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.38 / $22.38 / $22.38	Facility	26	$22.38	$22.38	$22.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.96 / $137.79 / $148.08	Professional		$126.96	$137.79	$148.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.58 / $117.50 / $124.30	Professional	TC	$104.58	$117.50	$124.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $26.08 / $26.08	Professional		$26.08	$26.08	$26.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $168.52 / $650.12	Professional		$102.58	$168.52	$650.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.74 / $138.71 / $542.59	Professional	TC	$82.74	$138.71	$542.59
United Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $155.08 / $268.16	Professional		$94.75	$155.08	$268.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.05 / $97.69 / $202.99	Professional	TC	$70.05	$97.69	$202.99