Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $173.78	Professional		$77.62	$93.33	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $117.49	Professional	26	$38.02	$48.98	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $43.65 / $58.88	Professional	TC	$28.18	$43.65	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $52.48 / $66.07	Facility	26	$10.00	$52.48	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $389.05	Professional		$75.86	$141.25	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $83.18 / $190.55	Professional	26	$41.69	$83.18	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $56.23 / $194.98	Professional	TC	$28.84	$56.23	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $123.03	Professional		$57.54	$79.43	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.86 / $77.62	Professional	26	$33.88	$47.86	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.90 / $47.86	Professional	TC	$22.39	$30.90	$47.86