Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $299.02 / $328.92 / $328.92	Facility	26	$299.02	$328.92	$328.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.38 / $1,051.78 / $1,175.74	Professional		$990.38	$1,051.78	$1,175.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $272.25 / $337.76 / $640.70	Professional	26	$272.25	$337.76	$640.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $705.34 / $775.87 / $857.38	Professional	TC	$705.34	$775.87	$857.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $551.97 / $1,371.66 / $2,021.01	Professional		$551.97	$1,371.66	$2,021.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $329.98 / $329.98 / $329.98	Facility	26	$329.98	$329.98	$329.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.30 / $1,527.75 / $4,641.47	Professional		$966.30	$1,527.75	$4,641.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $275.37 / $461.63 / $1,337.69	Professional	26	$275.37	$461.63	$1,337.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $690.94 / $1,009.86 / $3,303.72	Professional	TC	$690.94	$1,009.86	$3,303.72
United Facility/Professional Professional Modifier Low / Median / High Price $836.95 / $1,378.51 / $1,912.55	Professional		$836.95	$1,378.51	$1,912.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $246.52 / $385.62 / $687.98	Professional	26	$246.52	$385.62	$687.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $575.02 / $824.86 / $1,425.94	Professional	TC	$575.02	$824.86	$1,425.94