Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.68 / $90.95 / $148.63	Facility	26	$82.68	$90.95	$148.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.32 / $252.36 / $504.45	Professional		$219.32	$252.36	$504.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.79 / $87.26 / $172.55	Professional	26	$75.79	$87.26	$172.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.63 / $165.09 / $219.77	Professional	TC	$136.63	$165.09	$219.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $198.68 / $466.08	Professional		$91.26	$198.68	$466.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.46 / $93.46 / $93.46	Facility	26	$93.46	$93.46	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.01 / $311.57 / $664.73	Professional		$219.01	$311.57	$664.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.92 / $123.39 / $241.47	Professional	26	$78.92	$123.39	$241.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.09 / $190.98 / $434.48	Professional	TC	$140.09	$190.98	$434.48
United Facility/Professional Professional Modifier Low / Median / High Price $193.82 / $311.57 / $430.64	Professional		$193.82	$311.57	$430.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.02 / $108.73 / $179.04	Professional	26	$72.02	$108.73	$179.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.51 / $175.55 / $292.64	Professional	TC	$104.51	$175.55	$292.64