Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.98 / $57.98 / $57.98	Facility	26	$57.98	$57.98	$57.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $124.98 / $200.13	Professional		$108.57	$124.98	$200.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.53 / $61.60 / $72.13	Professional	26	$54.53	$61.60	$72.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.59 / $63.38 / $131.93	Professional	TC	$50.59	$63.38	$131.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $58.40 / $118.05	Professional		$55.28	$58.40	$118.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $67.87 / $67.87	Facility	26	$67.87	$67.87	$67.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $155.90 / $315.01	Professional		$108.00	$155.90	$315.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.62 / $77.37 / $171.15	Professional	26	$55.62	$77.37	$171.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.88 / $73.00 / $166.55	Professional	TC	$51.88	$73.00	$166.55
United Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $166.29 / $343.02	Professional		$97.16	$166.29	$343.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.73 / $71.88 / $151.97	Professional	26	$46.73	$71.88	$151.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.73 / $94.79 / $243.74	Professional	TC	$47.73	$94.79	$243.74