Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $61.66	Professional		$34.67	$39.81	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.02 / $16.22	Professional	26	$10.00	$12.02	$16.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.18 / $39.81	Professional	TC	$23.99	$28.18	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $208.93	Professional		$40.74	$52.48	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.85 / $56.23	Professional	26	$11.48	$15.85	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.02 / $151.36	Professional	TC	$28.18	$38.02	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $74.13	Professional		$32.36	$45.71	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $13.80 / $20.89	Professional	26	$9.77	$13.80	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $53.70	Professional	TC	$21.88	$30.90	$53.70