Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $91.65 / $91.65	Professional		$65.70	$91.65	$91.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.41 / $18.66 / $18.66	Professional	26	$15.41	$18.66	$18.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.28 / $72.98 / $72.98	Professional	TC	$50.28	$72.98	$72.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.59 / $34.59 / $34.59	Facility	26	$34.59	$34.59	$34.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $50.11 / $121.29	Professional		$37.06	$50.11	$121.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $12.20 / $36.65	Professional	26	$8.94	$12.20	$36.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.90 / $37.07 / $88.43	Professional	TC	$27.90	$37.07	$88.43
United Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $70.40 / $129.08	Professional		$47.87	$70.40	$129.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $18.25 / $40.00	Professional	26	$12.24	$18.25	$40.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $47.36 / $105.59	Professional	TC	$25.29	$47.36	$105.59