Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $691.83 / $691.83	Facility		$20.89	$691.83	$691.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $3.39 / $3.39	Facility	26	$3.02	$3.39	$3.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $89.13	Professional		$18.20	$27.54	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $7.76	Professional	26	$2.00	$3.02	$7.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.05 / $30.20	Professional	TC	$15.14	$19.05	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $22.91 / $33.88	Facility		$3.72	$22.91	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $23.99 / $47.86	Professional		$3.89	$23.99	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.72 / $3.39 / $4.79	Facility	26	$0.72	$3.39	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $169.82	Professional		$16.98	$32.36	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.34 / $4.37 / $51.29	Professional	26	$2.34	$4.37	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $25.70 / $95.50	Professional	TC	$14.45	$25.70	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.88 / $66.07	Professional		$17.78	$33.88	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $7.59 / $16.22	Professional	26	$2.88	$7.59	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $26.92 / $51.29	Professional	TC	$14.79	$26.92	$51.29