Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.16 / $29.16 / $29.16	Facility	26	$29.16	$29.16	$29.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $93.09 / $124.24	Professional		$49.16	$93.09	$124.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $29.16 / $93.35	Professional	26	$24.78	$29.16	$93.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.87 / $65.69 / $96.83	Professional	TC	$10.87	$65.69	$96.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $49.39 / $114.51	Professional		$10.88	$49.39	$114.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.32 / $49.32 / $49.32	Facility	26	$49.32	$49.32	$49.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $109.23 / $301.62	Professional		$44.08	$109.23	$301.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.42 / $56.01 / $91.74	Professional	26	$34.42	$56.01	$91.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.66 / $40.83 / $206.92	Professional	TC	$8.66	$40.83	$206.92
United Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $119.35 / $202.93	Professional		$64.27	$119.35	$202.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.16 / $37.09 / $79.81	Professional	26	$21.16	$37.09	$79.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.62 / $88.09 / $203.51	Professional	TC	$27.62	$88.09	$203.51