Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.41 / $27.41 / $27.41	Facility	26	$27.41	$27.41	$27.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $93.15 / $117.41	Professional		$81.64	$93.15	$117.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.24 / $64.94 / $86.27	Professional	TC	$54.24	$64.94	$86.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $122.74 / $419.66	Professional		$71.48	$122.74	$419.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.79 / $93.03 / $326.41	Professional	TC	$48.79	$93.03	$326.41
United Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $119.10 / $224.45	Professional		$74.86	$119.10	$224.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.72 / $76.11 / $171.69	Professional	TC	$48.72	$76.11	$171.69