Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.15 / $132.15 / $132.15	Facility		$132.15	$132.15	$132.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.73 / $26.73 / $26.73	Facility	26	$26.73	$26.73	$26.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $124.35 / $171.36	Professional		$104.18	$124.35	$171.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $22.73 / $29.02	Professional	26	$11.77	$22.73	$29.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.14 / $101.46 / $142.34	Professional	TC	$84.14	$101.46	$142.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $127.02 / $168.44	Facility		$24.51	$127.02	$168.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $26.71 / $141.71	Professional		$13.34	$26.71	$141.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $147.68 / $223.40	Facility		$147.68	$147.68	$223.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.75 / $26.75 / $26.75	Facility	26	$26.75	$26.75	$26.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $174.67 / $322.83	Professional		$131.31	$174.67	$322.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.89 / $24.53 / $52.91	Professional	26	$14.89	$24.53	$52.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.74 / $153.16 / $271.48	Professional	TC	$109.74	$153.16	$271.48
United Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $172.36 / $301.25	Professional		$111.93	$172.36	$301.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $17.80 / $30.04	Professional	26	$9.64	$17.80	$30.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.28 / $148.60 / $283.52	Professional	TC	$91.28	$148.60	$283.52