Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $173.78	Professional		$72.44	$104.71	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $18.20 / $40.74	Professional	26	$14.13	$18.20	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $83.18 / $138.04	Professional	TC	$60.26	$83.18	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $512.86	Professional		$70.79	$144.54	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $26.92 / $91.20	Professional	26	$14.45	$26.92	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $117.49 / $426.58	Professional	TC	$64.57	$117.49	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $186.21	Professional		$58.88	$91.20	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $21.88 / $38.90	Professional	26	$13.49	$21.88	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $72.44 / $147.91	Professional	TC	$40.74	$72.44	$147.91