Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.19 / $44.19 / $44.19	Facility	26	$44.19	$44.19	$44.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.60 / $344.07 / $420.27	Professional		$305.60	$344.07	$420.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $152.80 / $186.08 / $210.14	Professional	52	$152.80	$186.08	$210.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.87 / $301.02 / $371.70	Professional	TC	$265.87	$301.02	$371.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $338.67 / $733.84	Professional		$49.84	$338.67	$733.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.88 / $50.88 / $50.88	Facility	26	$50.88	$50.88	$50.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $358.95 / $999.38	Professional		$90.08	$358.95	$999.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.70 / $346.61 / $1,080.34	Professional	TC	$262.70	$346.61	$1,080.34
United Facility/Professional Professional Modifier Low / Median / High Price $249.14 / $386.56 / $635.40	Professional		$249.14	$386.56	$635.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $212.36 / $319.38 / $471.70	Professional	TC	$212.36	$319.38	$471.70