Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.33 / $12.33 / $12.33	Facility	26	$12.33	$12.33	$12.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $94.71 / $113.87	Professional		$86.96	$94.71	$113.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.45 / $12.33 / $13.56	Professional	26	$10.45	$12.33	$13.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.64 / $82.10 / $101.01	Professional	TC	$74.64	$82.10	$101.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Professional		$13.24	$13.24	$13.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $187.15 / $536.82	Professional		$86.64	$187.15	$536.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $17.09 / $54.56	Professional	26	$10.27	$17.09	$54.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.37 / $162.88 / $497.01	Professional	TC	$76.37	$162.88	$497.01
United Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $151.08 / $290.16	Professional		$74.01	$151.08	$290.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $14.90 / $28.81	Professional	26	$7.36	$14.90	$28.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.81 / $137.30 / $267.24	Professional	TC	$66.81	$137.30	$267.24