Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.36 / $66.39 / $66.39	Facility	26	$60.36	$66.39	$66.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $104.29 / $175.77	Professional		$100.45	$104.29	$175.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.25 / $63.29 / $126.32	Professional	26	$56.25	$63.29	$126.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.24 / $45.74 / $51.17	Professional	TC	$31.24	$45.74	$51.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $91.65 / $216.41	Professional		$40.15	$91.65	$216.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.20 / $68.20 / $68.20	Facility	26	$68.20	$68.20	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $130.66 / $299.89	Professional		$97.19	$130.66	$299.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.37 / $88.46 / $212.66	Professional	26	$55.37	$88.46	$212.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.89 / $46.31 / $85.42	Professional	TC	$31.89	$46.31	$85.42
United Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $98.01 / $161.88	Professional		$75.16	$98.01	$161.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.27 / $75.40 / $115.70	Professional	26	$50.27	$75.40	$115.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $36.09 / $52.53	Professional	TC	$25.10	$36.09	$52.53