Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.84 / $57.84 / $57.84	Facility	26	$57.84	$57.84	$57.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $163.85 / $199.26	Professional		$153.69	$163.85	$199.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $57.84 / $65.36	Professional	26	$53.70	$57.84	$65.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.84 / $109.21 / $140.65	Professional	TC	$95.84	$109.21	$140.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $64.95 / $285.13	Professional		$61.49	$64.95	$285.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.70 / $66.70 / $66.70	Facility	26	$66.70	$66.70	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.13 / $351.45 / $712.59	Professional		$286.13	$351.45	$712.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.79 / $74.33 / $154.16	Professional	26	$54.79	$74.33	$154.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $227.56 / $274.42 / $558.41	Professional	TC	$227.56	$274.42	$558.41
United Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $317.95 / $491.74	Professional		$223.98	$317.95	$491.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.96 / $68.95 / $100.34	Professional	26	$47.96	$68.95	$100.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.18 / $256.24 / $401.95	Professional	TC	$180.18	$256.24	$401.95