Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.36 / $30.36 / $30.36	Facility	26	$30.36	$30.36	$30.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $79.14 / $98.82	Professional		$68.30	$79.14	$98.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.70 / $30.36 / $36.15	Professional	26	$28.70	$30.36	$36.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.94 / $49.35 / $62.66	Professional	TC	$37.94	$49.35	$62.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $35.52 / $74.01	Professional		$33.61	$35.52	$74.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.24 / $36.24 / $36.24	Facility	26	$36.24	$36.24	$36.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.37 / $97.74 / $252.18	Professional		$60.37	$97.74	$252.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.16 / $43.87 / $102.01	Professional	26	$26.16	$43.87	$102.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.42 / $56.44 / $150.16	Professional	TC	$34.42	$56.44	$150.16
United Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $97.75 / $202.54	Professional		$61.61	$97.75	$202.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.73 / $35.09 / $66.18	Professional	26	$21.73	$35.09	$66.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.49 / $56.90 / $109.49	Professional	TC	$36.49	$56.90	$109.49