Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $101.95 / $101.95	Professional		$88.01	$101.95	$101.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.51 / $76.75 / $180.92	Professional	26	$66.51	$76.75	$180.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $25.20 / $25.20	Professional	TC	$19.32	$25.20	$25.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Professional		$30.30	$30.30	$30.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.12 / $133.12 / $133.12	Facility	26	$133.12	$133.12	$133.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $75.05 / $212.47	Professional		$52.38	$75.05	$212.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.84 / $45.29 / $142.21	Professional	26	$38.84	$45.29	$142.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.62 / $25.50 / $70.26	Professional	TC	$12.62	$25.50	$70.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $96.27 / $175.82	Professional		$60.88	$96.27	$175.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.22 / $69.04 / $127.33	Professional	26	$48.22	$69.04	$127.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.66 / $34.81 / $57.22	Professional	TC	$12.66	$34.81	$57.22