Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $47.86 / $47.86	Facility	26	$42.66	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $239.88	Professional		$120.23	$144.54	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $93.33	Professional	26	$39.81	$51.29	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $102.33 / $158.49	Professional	TC	$85.11	$102.33	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $851.14	Professional		$128.82	$194.98	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $63.10 / $223.87	Professional	26	$41.69	$63.10	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $128.82 / $436.52	Professional	TC	$87.10	$128.82	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $323.59	Professional		$123.03	$181.97	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $52.48 / $83.18	Professional	26	$40.74	$52.48	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $123.03 / $234.42	Professional	TC	$75.86	$123.03	$234.42