Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.05 / $26.05 / $26.05	Facility	26	$26.05	$26.05	$26.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $167.72 / $198.64	Professional		$127.04	$167.72	$198.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.46 / $141.78 / $169.43	Professional	TC	$103.46	$141.78	$169.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $30.02 / $171.31	Professional		$28.42	$30.02	$171.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $160.38 / $420.95	Professional		$84.63	$160.38	$420.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.45 / $150.96 / $420.78	Professional	TC	$70.45	$150.96	$420.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $107.52 / $200.58	Professional		$79.91	$107.52	$200.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.21 / $81.08 / $178.77	Professional	TC	$45.21	$81.08	$178.77