Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.90 / $24.90 / $24.90	Facility	26	$24.90	$24.90	$24.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $120.74 / $172.21	Professional		$101.65	$120.74	$172.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.34 / $27.39 / $35.50	Professional	26	$23.34	$27.39	$35.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $95.84 / $141.03	Professional	TC	$69.04	$95.84	$141.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $40.10 / $157.71	Professional		$37.96	$40.10	$157.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.43 / $39.43 / $39.43	Facility	26	$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $199.87 / $374.86	Professional		$144.55	$199.87	$374.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $40.79 / $73.53	Professional	26	$24.43	$40.79	$73.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.31 / $158.13 / $302.81	Professional	TC	$120.31	$158.13	$302.81
United Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $197.87 / $355.77	Professional		$130.97	$197.87	$355.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.83 / $36.65 / $54.75	Professional	26	$23.83	$36.65	$54.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $160.08 / $299.29	Professional	TC	$107.15	$160.08	$299.29