Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.85 / $19.63 / $19.63	Facility	26	$17.85	$19.63	$19.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $49.84 / $56.88	Professional		$40.95	$49.84	$56.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.66 / $18.60 / $26.14	Professional	26	$16.66	$18.60	$26.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.17 / $30.22 / $33.18	Professional	TC	$17.17	$30.22	$33.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $19.55 / $36.11	Professional		$9.96	$19.55	$36.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $20.05 / $20.05	Facility	26	$20.05	$20.05	$20.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $58.95 / $121.04	Professional		$40.27	$58.95	$121.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.18 / $27.68 / $73.56	Professional	26	$16.18	$27.68	$73.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $30.97 / $46.36	Professional	TC	$17.57	$30.97	$46.36
United Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $46.06 / $66.54	Professional		$31.94	$46.06	$66.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.76 / $21.67 / $37.93	Professional	26	$14.76	$21.67	$37.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.23 / $21.37 / $33.68	Professional	TC	$14.23	$21.37	$33.68