Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.14 / $49.65 / $49.65	Facility	26	$45.14	$49.65	$49.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $245.74 / $286.42	Professional		$206.63	$245.74	$286.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.23 / $45.14 / $53.76	Professional	26	$42.23	$45.14	$53.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $200.60 / $236.12	Professional	TC	$162.49	$200.60	$236.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $50.39 / $249.00	Professional		$47.70	$50.39	$249.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.19 / $52.19 / $52.19	Facility	26	$52.19	$52.19	$52.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.48 / $328.83 / $705.58	Professional		$248.48	$328.83	$705.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.85 / $58.79 / $125.75	Professional	26	$42.85	$58.79	$125.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.52 / $265.85 / $579.83	Professional	TC	$203.52	$265.85	$579.83
United Facility/Professional Professional Modifier Low / Median / High Price $219.57 / $312.36 / $513.36	Professional		$219.57	$312.36	$513.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $56.75 / $82.70	Professional	26	$38.51	$56.75	$82.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.11 / $242.15 / $438.90	Professional	TC	$174.11	$242.15	$438.90