Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.28 / $114.69 / $636.65	Facility	26	$110.28	$114.69	$636.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $231.00 / $286.13	Professional		$171.00	$231.00	$286.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $120.43 / $152.66	Professional	26	$51.30	$120.43	$152.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.93 / $119.70 / $133.47	Professional	TC	$101.93	$119.70	$133.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.28 / $165.28 / $165.28	Facility	26	$165.28	$165.28	$165.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.14 / $417.56 / $735.46	Professional		$341.14	$417.56	$735.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.34 / $112.59 / $187.01	Professional	26	$93.34	$112.59	$187.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.78 / $310.27 / $565.79	Professional	TC	$240.78	$310.27	$565.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $830.40 / $1,061.59 / $1,061.59	Facility	26	$830.40	$1,061.59	$1,061.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.33 / $485.04 / $1,915.39	Professional		$363.33	$485.04	$1,915.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $98.57 / $122.70 / $717.76	Professional	26	$98.57	$122.70	$717.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $264.76 / $362.34 / $1,435.54	Professional	TC	$264.76	$362.34	$1,435.54
United Facility/Professional Professional Modifier Low / Median / High Price $363.33 / $485.04 / $727.56	Professional		$363.33	$485.04	$727.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.57 / $122.70 / $183.00	Professional	26	$98.57	$122.70	$183.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $264.76 / $362.34 / $543.51	Professional	TC	$264.76	$362.34	$543.51