Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $537.03	Professional		$346.74	$407.38	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $72.44	Professional	26	$50.12	$61.66	$72.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.18 / $95.50 / $95.50	Professional	52	$28.18	$95.50	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $346.74 / $478.63	Professional	TC	$288.40	$346.74	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $66.07 / $95.50	Facility	26	$14.13	$66.07	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $776.25 / $2,089.30	Professional		$371.54	$776.25	$2,089.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $114.82 / $389.05	Professional	26	$56.23	$114.82	$389.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $707.95 / $1,659.59	Professional	TC	$323.59	$707.95	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $794.33	Professional		$331.13	$524.81	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $79.43 / $125.89	Professional	26	$52.48	$79.43	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $446.68 / $660.69	Professional	TC	$269.15	$446.68	$660.69