Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.05 / $31.05 / $31.05	Facility	26	$31.05	$31.05	$31.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $67.23 / $90.78	Professional		$56.32	$67.23	$90.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.88 / $31.05 / $41.54	Professional	26	$28.88	$31.05	$41.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $34.50 / $38.36	Professional	TC	$20.19	$34.50	$38.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $32.78 / $50.19	Professional		$17.92	$32.78	$50.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.10 / $35.10 / $35.10	Facility	26	$35.10	$35.10	$35.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $81.30 / $166.06	Professional		$57.56	$81.30	$166.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $45.45 / $109.50	Professional	26	$28.62	$45.45	$109.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $35.97 / $55.29	Professional	TC	$20.39	$35.97	$55.29
United Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $60.94 / $89.43	Professional		$44.01	$60.94	$89.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.68 / $37.94 / $55.54	Professional	26	$25.68	$37.94	$55.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.17 / $24.88 / $39.04	Professional	TC	$16.17	$24.88	$39.04