Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.83 / $40.83 / $40.83	Facility	26	$40.83	$40.83	$40.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $146.91 / $179.04	Professional		$115.75	$146.91	$179.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.83 / $51.23 / $86.59	Professional	26	$40.83	$51.23	$86.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.93 / $99.40 / $131.11	Professional	TC	$74.93	$99.40	$131.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $162.44 / $313.61	Professional		$58.55	$162.44	$313.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.14 / $47.14 / $47.14	Facility	26	$47.14	$47.14	$47.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $162.31 / $735.92	Professional		$91.41	$162.31	$735.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.60 / $55.66 / $198.31	Professional	26	$32.60	$55.66	$198.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.04 / $106.43 / $541.00	Professional	TC	$48.04	$106.43	$541.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $146.74 / $246.64	Professional		$85.29	$146.74	$246.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $58.05 / $95.66	Professional	26	$34.36	$58.05	$95.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.72 / $101.42 / $155.06	Professional	TC	$47.72	$101.42	$155.06