Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.89 / $578.48 / $578.48	Professional		$424.89	$578.48	$578.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.67 / $51.43 / $51.43	Professional	26	$43.67	$51.43	$51.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $403.09 / $527.04 / $527.04	Professional	TC	$403.09	$527.04	$527.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $63.34 / $63.34	Professional		$63.34	$63.34	$63.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.93 / $89.93 / $89.93	Facility	26	$89.93	$89.93	$89.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.86 / $415.78 / $893.78	Professional		$236.86	$415.78	$893.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.48 / $37.64 / $95.20	Professional	26	$25.48	$37.64	$95.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.46 / $378.14 / $798.57	Professional	TC	$210.46	$378.14	$798.57
United Facility/Professional Professional Modifier Low / Median / High Price $281.50 / $434.32 / $760.06	Professional		$281.50	$434.32	$760.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.97 / $45.04 / $98.49	Professional	26	$31.97	$45.04	$98.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.53 / $378.04 / $704.85	Professional	TC	$249.53	$378.04	$704.85