Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $275.42	Professional		$114.82	$162.18	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $51.29 / $107.15	Professional	26	$41.69	$51.29	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $104.71 / $218.78	Professional	TC	$72.44	$104.71	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $51.29 / $74.13	Facility	26	$10.96	$51.29	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $794.33	Professional		$114.82	$257.04	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $63.10 / $229.09	Professional	26	$33.88	$63.10	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $186.21 / $501.19	Professional	TC	$74.13	$186.21	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $338.84	Professional		$97.72	$190.55	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $53.70 / $100.00	Professional	26	$28.84	$53.70	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $138.04 / $251.19	Professional	TC	$66.07	$138.04	$251.19