Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $224.65 / $224.65	Professional		$178.17	$224.65	$224.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.82 / $113.97 / $113.97	Professional	26	$92.82	$113.97	$113.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.87 / $110.68 / $110.68	Professional	TC	$84.87	$110.68	$110.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Professional		$119.70	$119.70	$119.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.13 / $138.13 / $138.13	Facility	26	$138.13	$138.13	$138.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $133.83 / $394.34	Professional		$105.41	$133.83	$394.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.85 / $76.75 / $218.14	Professional	26	$53.85	$76.75	$218.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.87 / $66.47 / $176.20	Professional	TC	$49.87	$66.47	$176.20
United Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $221.84 / $411.13	Professional		$133.10	$221.84	$411.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.94 / $129.90 / $263.37	Professional	26	$77.94	$129.90	$263.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.56 / $91.94 / $225.10	Professional	TC	$50.56	$91.94	$225.10