Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.35 / $10.35 / $10.35	Facility	26	$10.35	$10.35	$10.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $35.25 / $60.30	Professional		$28.29	$35.25	$60.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.02 / $22.48	Professional	26	$9.77	$15.02	$22.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.93 / $21.58 / $24.33	Professional	TC	$17.93	$21.58	$24.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $29.28 / $61.73	Professional		$14.60	$29.28	$61.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $11.90	Facility	26	$11.90	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $41.25 / $141.90	Professional		$28.03	$41.25	$141.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.86 / $48.34	Professional	26	$9.77	$15.86	$48.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $26.17 / $93.56	Professional	TC	$18.19	$26.17	$93.56
United Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $42.59 / $77.04	Professional		$29.45	$42.59	$77.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $15.57 / $27.27	Professional	26	$11.13	$15.57	$27.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.20 / $26.29 / $43.23	Professional	TC	$17.20	$26.29	$43.23