Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $106.49 / $106.49	Professional		$85.31	$106.49	$106.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.22 / $28.40 / $28.40	Professional	26	$25.22	$28.40	$28.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.75 / $78.08 / $78.08	Professional	TC	$59.75	$78.08	$78.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $37.06 / $37.06	Professional		$37.06	$37.06	$37.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	26	$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $58.54 / $160.91	Professional		$43.94	$58.54	$160.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $15.60 / $50.61	Professional	26	$14.14	$15.60	$50.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.80 / $43.82 / $118.61	Professional	TC	$29.80	$43.82	$118.61
United Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $75.68 / $180.37	Professional		$52.25	$75.68	$180.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.45 / $22.98 / $47.49	Professional	26	$16.45	$22.98	$47.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.79 / $46.12 / $91.47	Professional	TC	$35.79	$46.12	$91.47