Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.47 / $42.32 / $42.32	Facility	26	$38.47	$42.32	$42.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.87 / $273.08 / $367.25	Professional		$229.87	$273.08	$367.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $38.47 / $44.70	Professional	26	$35.15	$38.47	$44.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.39 / $236.99 / $322.54	Professional	TC	$191.39	$236.99	$322.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $44.47 / $240.72	Professional		$42.10	$44.47	$240.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.98 / $42.98 / $42.98	Facility	26	$42.98	$42.98	$42.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.27 / $313.02 / $649.22	Professional		$224.27	$313.02	$649.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.10 / $51.88 / $110.62	Professional	26	$35.10	$51.88	$110.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.43 / $259.68 / $538.60	Professional	TC	$187.43	$259.68	$538.60
United Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $296.74 / $471.32	Professional		$211.28	$296.74	$471.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.17 / $45.34 / $72.18	Professional	26	$29.17	$45.34	$72.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.36 / $279.00 / $399.24	Professional	TC	$179.36	$279.00	$399.24