Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.58 / $41.58 / $41.58	Facility	26	$41.58	$41.58	$41.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $79.83 / $163.29	Professional		$71.34	$79.83	$163.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.70 / $42.93 / $86.39	Professional	26	$38.70	$42.93	$86.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $37.25 / $41.13	Professional	TC	$24.33	$37.25	$41.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $74.05 / $162.13	Professional		$34.18	$74.05	$162.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.26 / $46.26 / $46.26	Facility	26	$46.26	$46.26	$46.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.11 / $97.90 / $209.53	Professional		$72.11	$97.90	$209.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.63 / $58.81 / $143.88	Professional	26	$37.63	$58.81	$143.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $39.40 / $65.33	Professional	TC	$24.55	$39.40	$65.33
United Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $76.20 / $114.18	Professional		$52.83	$76.20	$114.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $72.95	Professional	26	$33.88	$44.67	$72.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.25 / $26.74 / $42.28	Professional	TC	$19.25	$26.74	$42.28