Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.98 / $50.98 / $50.98	Facility	26	$50.98	$50.98	$50.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.46 / $203.65 / $264.24	Professional		$191.46	$203.65	$264.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.66 / $49.21 / $55.49	Professional	26	$46.66	$49.21	$55.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.47 / $157.00 / $208.75	Professional	TC	$140.47	$157.00	$208.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $58.67 / $58.67	Professional		$58.67	$58.67	$58.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.80 / $59.80 / $59.80	Facility	26	$59.80	$59.80	$59.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.59 / $351.00 / $946.36	Professional		$174.59	$351.00	$946.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.45 / $75.78 / $241.67	Professional	26	$45.45	$75.78	$241.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.13 / $275.75 / $704.73	Professional	TC	$129.13	$275.75	$704.73
United Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $280.35 / $490.68	Professional		$136.71	$280.35	$490.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $78.22 / $129.84	Professional	26	$33.22	$78.22	$129.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.13 / $202.13 / $378.99	Professional	TC	$92.13	$202.13	$378.99