Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.66 / $24.66 / $24.66	Facility	26	$24.66	$24.66	$24.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $182.38 / $353.56	Professional		$144.49	$182.38	$353.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $27.12 / $51.55	Professional	26	$22.32	$27.12	$51.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.83 / $138.59 / $251.29	Professional	TC	$119.83	$138.59	$251.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $27.01 / $154.99	Professional		$25.56	$27.01	$154.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.85 / $204.68 / $433.66	Professional		$144.85	$204.68	$433.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $31.52 / $69.63	Professional	26	$22.13	$31.52	$69.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.66 / $170.91 / $362.87	Professional	TC	$121.66	$170.91	$362.87
United Facility/Professional Professional Modifier Low / Median / High Price $131.81 / $205.39 / $393.42	Professional		$131.81	$205.39	$393.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $28.58 / $45.11	Professional	26	$20.05	$28.58	$45.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.37 / $176.83 / $343.28	Professional	TC	$109.37	$176.83	$343.28