Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $66.06 / $66.06	Professional		$53.34	$66.06	$66.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.17 / $22.71 / $22.71	Professional	26	$19.17	$22.71	$22.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.21 / $43.36 / $43.36	Professional	TC	$33.21	$43.36	$43.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $27.96 / $27.96	Professional		$27.96	$27.96	$27.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.39 / $28.39 / $28.39	Facility	26	$28.39	$28.39	$28.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $36.92 / $105.92	Professional		$28.24	$36.92	$105.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $13.40 / $42.56	Professional	26	$11.23	$13.40	$42.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $25.87 / $70.84	Professional	TC	$14.84	$25.87	$70.84
United Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $44.27 / $87.59	Professional		$35.42	$44.27	$87.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.26 / $18.30 / $38.82	Professional	26	$14.26	$18.30	$38.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $25.42 / $50.40	Professional	TC	$18.04	$25.42	$50.40