Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $104.52 / $104.52	Professional		$83.07	$104.52	$104.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $29.63 / $29.63	Professional	26	$25.05	$29.63	$29.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.31 / $74.90 / $74.90	Professional	TC	$57.31	$74.90	$74.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Professional		$36.22	$36.22	$36.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.17 / $69.17 / $69.17	Facility	26	$69.17	$69.17	$69.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $94.89 / $277.80	Professional		$47.45	$94.89	$277.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $28.69 / $93.14	Professional	26	$14.56	$28.69	$93.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $64.70 / $184.65	Professional	TC	$32.36	$64.70	$184.65
United Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $148.34 / $320.23	Professional		$61.63	$148.34	$320.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $43.16 / $113.77	Professional	26	$18.98	$43.16	$113.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.50 / $100.75 / $266.91	Professional	TC	$37.50	$100.75	$266.91