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 $72.44 / $95.50 / $173.78	Professional		$72.44	$95.50	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $95.50	Professional	26	$38.02	$46.77	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.90 / $54.95	Professional	TC	$25.70	$38.90	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $97.72	Professional		$33.88	$69.18	$97.72
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 $72.44 / $134.90 / $363.08	Professional		$72.44	$134.90	$363.08
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 $26.30 / $48.98 / $177.83	Professional	TC	$26.30	$48.98	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $114.82	Professional		$54.95	$75.86	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $46.77 / $72.44	Professional	26	$33.11	$46.77	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $43.65	Professional	TC	$20.42	$28.18	$43.65