Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $91.20 / $147.91	Facility	26	$81.28	$91.20	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $851.14	Professional		$213.80	$309.03	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $204.17	Professional	26	$75.86	$102.33	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $169.82 / $257.04	Professional	TC	$138.04	$169.82	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $354.81	Professional		$81.28	$181.97	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $93.33 / $131.83	Facility	26	$19.95	$93.33	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $1,071.52	Professional		$213.80	$323.59	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $117.49 / $380.19	Professional	26	$79.43	$117.49	$380.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $194.98 / $691.83	Professional	TC	$134.90	$194.98	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $467.74	Professional		$194.98	$275.42	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $169.82	Professional	26	$75.86	$102.33	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $169.82 / $288.40	Professional	TC	$117.49	$169.82	$288.40