Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $114.24 / $116.85	Professional		$103.67	$114.24	$116.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $17.14 / $19.29	Professional	26	$17.14	$17.14	$19.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.79 / $97.09 / $97.56	Professional	TC	$84.79	$97.09	$97.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $21.14 / $21.14	Professional		$21.14	$21.14	$21.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $140.33 / $512.94	Professional		$65.23	$140.33	$512.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.73 / $26.96 / $88.13	Professional	26	$15.73	$26.96	$88.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.59 / $115.26 / $425.65	Professional	TC	$61.59	$115.26	$425.65
United Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $92.31 / $187.73	Professional		$58.30	$92.31	$187.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.10 / $23.29 / $44.84	Professional	26	$14.10	$23.29	$44.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.96 / $70.28 / $137.10	Professional	TC	$40.96	$70.28	$137.10