Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $117.49 / $117.49	Facility	26	$107.15	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $457.09	Professional		$218.78	$288.40	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $234.42	Professional	26	$97.72	$128.82	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $416.87	Professional		$104.71	$204.17	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $120.23 / $169.82	Facility	26	$25.70	$120.23	$169.82
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.88 / $39.81 / $72.44	Facility	53	$33.88	$39.81	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $1,148.15	Professional		$223.87	$346.74	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $151.36 / $537.03	Professional	26	$102.33	$151.36	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $537.03	Professional		$204.17	$309.03	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $125.89 / $194.98	Professional	26	$95.50	$125.89	$194.98