Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.69 / $407.03 / $407.03	Professional		$307.69	$407.03	$407.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $42.55 / $42.55	Professional	26	$36.40	$42.55	$42.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $271.29 / $364.48 / $364.48	Professional	TC	$271.29	$364.48	$364.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $52.90 / $52.90	Professional		$52.90	$52.90	$52.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.99 / $53.99 / $53.99	Facility	26	$53.99	$53.99	$53.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $246.45 / $779.42	Professional		$172.06	$246.45	$779.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $27.72 / $81.67	Professional	26	$21.23	$27.72	$81.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $150.02 / $218.73 / $697.75	Professional	TC	$150.02	$218.73	$697.75
United Facility/Professional Professional Modifier Low / Median / High Price $215.36 / $391.57 / $630.55	Professional		$215.36	$391.57	$630.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $40.36 / $82.12	Professional	26	$26.98	$40.36	$82.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.38 / $342.52 / $554.12	Professional	TC	$188.38	$342.52	$554.12