Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $74.13	Professional		$42.66	$47.86	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.14 / $21.38	Professional	26	$12.88	$15.14	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.11 / $51.29	Professional	TC	$28.84	$33.11	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.39 / $18.20 / $22.39	Facility	26	$3.39	$18.20	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $91.20 / $213.80	Professional		$43.65	$91.20	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $29.51 / $64.57	Professional	26	$14.45	$29.51	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $63.10 / $141.25	Professional	TC	$28.18	$63.10	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $89.13	Professional		$36.31	$54.95	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.60 / $25.70	Professional	26	$11.75	$16.60	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $66.07	Professional	TC	$24.55	$38.02	$66.07