Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	26	$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $123.03	Professional		$28.84	$38.90	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.88 / $34.67	Professional	26	$15.85	$21.88	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $15.85 / $87.10	Professional	TC	$12.88	$15.85	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.13 / $23.99 / $33.88	Facility	26	$5.13	$23.99	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $58.88 / $602.56	Professional		$29.51	$58.88	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $30.20 / $165.96	Professional	26	$16.22	$30.20	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $22.91 / $257.04	Professional	TC	$12.88	$22.91	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $89.13 / $208.93	Professional		$32.36	$89.13	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.20 / $57.54	Professional	26	$19.50	$30.20	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $53.70 / $151.36	Professional	TC	$13.18	$53.70	$151.36