Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $61.66 / $61.66	Facility	26	$54.95	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $229.09	Professional		$91.20	$117.49	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $151.36	Professional	26	$50.12	$66.07	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $42.66 / $60.26	Professional	TC	$28.18	$42.66	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $83.18 / $131.83	Professional		$37.15	$83.18	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $70.79 / $89.13	Facility	26	$13.49	$70.79	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $446.68	Professional		$89.13	$169.82	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $112.20 / $257.04	Professional	26	$56.23	$112.20	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $57.54 / $194.98	Professional	TC	$28.84	$57.54	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $138.04	Professional		$67.61	$93.33	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $60.26 / $91.20	Professional	26	$42.66	$60.26	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $50.12	Professional	TC	$22.91	$31.62	$50.12