Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.66 / $55.66 / $55.66	Facility	26	$55.66	$55.66	$55.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $96.79 / $157.74	Professional		$91.26	$96.79	$157.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.47 / $58.30 / $117.38	Professional	26	$51.47	$58.30	$117.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.88 / $40.61 / $45.10	Professional	TC	$27.88	$40.61	$45.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $85.49 / $200.50	Professional		$37.46	$85.49	$200.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.81 / $62.81 / $62.81	Facility	26	$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $121.07 / $270.89	Professional		$89.64	$121.07	$270.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.01 / $79.31 / $195.02	Professional	26	$51.01	$79.31	$195.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.04 / $43.09 / $75.38	Professional	TC	$28.04	$43.09	$75.38
United Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $94.64 / $138.40	Professional		$66.98	$94.64	$138.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.73 / $62.68 / $92.04	Professional	26	$42.73	$62.68	$92.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.78 / $31.46 / $48.02	Professional	TC	$22.78	$31.46	$48.02