Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $72.44	Professional		$51.29	$57.54	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $22.91	Professional	26	$15.14	$19.95	$22.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $37.15 / $48.98	Professional	TC	$32.36	$37.15	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $28.18 / $39.81	Facility	26	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $97.72 / $389.05	Professional		$36.31	$97.72	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $36.31 / $128.82	Professional	26	$10.96	$36.31	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $60.26 / $275.42	Professional	TC	$25.12	$60.26	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $85.11	Professional		$34.67	$43.65	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $18.20 / $38.90	Professional	26	$13.80	$18.20	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $23.99 / $47.86	Professional	TC	$20.42	$23.99	$47.86