Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.58 / $41.33 / $41.33	Facility	26	$37.58	$41.33	$41.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $78.80 / $164.92	Professional		$67.41	$78.80	$164.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $38.61 / $77.45	Professional	26	$34.21	$38.61	$77.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $40.29 / $44.58	Professional	TC	$23.57	$40.29	$44.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $73.38 / $159.01	Professional		$36.22	$73.38	$159.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $95.18 / $192.96	Professional		$68.13	$95.18	$192.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.60 / $54.11 / $129.58	Professional	26	$33.60	$54.11	$129.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $41.67 / $63.10	Professional	TC	$23.61	$41.67	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $71.54 / $105.43	Professional		$48.95	$71.54	$105.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.74 / $43.10 / $66.98	Professional	26	$30.74	$43.10	$66.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $28.84 / $45.40	Professional	TC	$19.23	$28.84	$45.40