Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.72 / $75.59 / $75.59	Facility	26	$68.72	$75.59	$75.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $214.53 / $267.33	Professional		$176.62	$214.53	$267.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.91 / $80.40 / $143.33	Professional	26	$62.91	$80.40	$143.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.90 / $142.30 / $191.17	Professional	TC	$107.90	$142.30	$191.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $153.91 / $370.86	Professional		$76.14	$153.91	$370.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.11 / $241.08 / $588.88	Professional		$175.11	$241.08	$588.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.88 / $100.70 / $201.54	Professional	26	$65.88	$100.70	$201.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.69 / $150.03 / $396.02	Professional	TC	$107.69	$150.03	$396.02
United Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $198.12 / $359.09	Professional		$148.16	$198.12	$359.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.11 / $87.54 / $135.59	Professional	26	$60.11	$87.54	$135.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.87 / $113.95 / $222.64	Professional	TC	$82.87	$113.95	$222.64