Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $91.30 / $91.30	Facility	26	$83.00	$91.30	$91.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $177.80 / $384.78	Professional		$133.50	$177.80	$384.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $94.25 / $189.63	Professional		$89.21	$94.25	$189.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.73 / $96.73 / $96.73	Facility	26	$96.73	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $238.23 / $561.77	Professional		$154.49	$238.23	$561.77
United Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $184.12 / $333.40	Professional		$133.43	$184.12	$333.40