Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $121.38 / $125.63	Professional		$100.98	$121.38	$125.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.72 / $36.36 / $36.36	Professional	26	$31.72	$36.36	$36.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.37 / $83.98 / $89.27	Professional	TC	$68.37	$83.98	$89.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $46.06 / $46.06	Professional		$46.06	$46.06	$46.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.89 / $84.89 / $84.89	Facility	26	$84.89	$84.89	$84.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $87.55 / $219.99	Professional		$64.51	$87.55	$219.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.51 / $31.26 / $100.12	Professional	26	$18.51	$31.26	$100.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.32 / $55.05 / $131.15	Professional	TC	$45.32	$55.05	$131.15
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $134.66 / $235.67	Professional		$65.84	$134.66	$235.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.99 / $51.69 / $123.08	Professional	26	$22.99	$51.69	$123.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.85 / $85.70 / $145.02	Professional	TC	$42.85	$85.70	$145.02