Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.73 / $48.10 / $48.10	Facility	26	$43.73	$48.10	$48.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $142.69 / $198.38	Professional		$129.72	$142.69	$198.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $55.14 / $93.31	Professional	26	$40.11	$55.14	$93.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.01 / $97.11 / $135.16	Professional	TC	$86.01	$97.11	$135.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $48.30 / $133.79	Professional		$45.72	$48.30	$133.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.06 / $49.06 / $49.06	Facility	26	$49.06	$49.06	$49.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $193.69 / $334.47	Professional		$128.44	$193.69	$334.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.42 / $62.62 / $127.55	Professional	26	$41.42	$62.62	$127.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.02 / $128.58 / $217.11	Professional	TC	$87.02	$128.58	$217.11
United Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $199.64 / $375.47	Professional		$115.97	$199.64	$375.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.04 / $54.48 / $83.57	Professional	26	$38.04	$54.48	$83.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.69 / $124.41 / $236.17	Professional	TC	$75.69	$124.41	$236.17