Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.27 / $99.27 / $99.27	Facility	26	$99.27	$99.27	$99.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $276.57 / $401.03	Professional		$240.48	$276.57	$401.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.56 / $99.27 / $114.75	Professional	26	$90.56	$99.27	$114.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.21 / $181.44 / $278.31	Professional	TC	$141.21	$181.44	$278.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $111.60 / $287.77	Professional		$105.62	$111.60	$287.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.59 / $114.59 / $114.59	Facility	26	$114.59	$114.59	$114.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.68 / $304.05 / $1,153.77	Professional		$218.68	$304.05	$1,153.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.67 / $126.74 / $387.93	Professional	26	$90.67	$126.74	$387.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.11 / $193.43 / $765.84	Professional	TC	$131.11	$193.43	$765.84
United Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $238.86 / $424.78	Professional		$188.66	$238.86	$424.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.56 / $121.06 / $173.70	Professional	26	$80.56	$121.06	$173.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.41 / $120.07 / $270.51	Professional	TC	$83.41	$120.07	$270.51