Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.77 / $45.77 / $45.77	Facility	26	$45.77	$45.77	$45.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $100.48 / $179.45	Professional		$90.69	$100.48	$179.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $40.79 / $46.56	Professional	26	$15.71	$40.79	$46.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.93 / $53.93 / $161.07	Professional	TC	$44.93	$53.93	$161.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $100.30 / $198.82	Professional		$60.18	$100.30	$198.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $52.72 / $52.72	Facility	26	$52.72	$52.72	$52.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $188.65 / $2,071.25	Professional		$77.88	$188.65	$2,071.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.51 / $52.00 / $212.03	Professional	26	$25.51	$52.00	$212.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.13 / $118.31 / $817.00	Professional	TC	$40.13	$118.31	$817.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $219.42 / $660.17	Professional		$90.58	$219.42	$660.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.19 / $30.79 / $75.17	Professional	26	$16.19	$30.79	$75.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.33 / $143.41 / $583.37	Professional	TC	$46.33	$143.41	$583.37