Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.32 / $28.32 / $28.32	Facility	26	$28.32	$28.32	$28.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $70.01 / $87.25	Professional		$60.45	$70.01	$87.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $28.32 / $32.04	Professional	26	$26.28	$28.32	$32.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.23 / $31.93 / $43.63	Professional	52	$30.23	$31.93	$43.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.11 / $43.74 / $55.20	Professional	TC	$32.11	$43.74	$55.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $74.05 / $138.18	Professional		$64.13	$74.05	$138.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $89.39 / $221.57	Professional		$55.23	$89.39	$221.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.46 / $38.72 / $88.33	Professional	26	$24.46	$38.72	$88.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.16 / $48.35 / $133.24	Professional	TC	$30.16	$48.35	$133.24
United Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $75.09 / $137.80	Professional		$53.64	$75.09	$137.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $30.14 / $59.14	Professional	26	$19.89	$30.14	$59.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.96 / $50.96 / $80.64	Professional	TC	$27.96	$50.96	$80.64