Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $114.82	Professional		$79.43	$97.72	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $51.29 / $63.10	Professional	TC	$39.81	$51.29	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $51.29 / $74.13	Facility	26	$10.96	$51.29	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $416.87	Professional		$81.28	$134.90	$416.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $81.28 / $204.17	Professional	TC	$31.62	$81.28	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $134.90	Professional		$66.07	$93.33	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $39.81 / $67.61	Professional	TC	$16.98	$39.81	$67.61