Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.50 / $33.77 / $187.20	Facility	26	$25.50	$33.77	$187.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $57.97 / $86.67	Professional		$57.26	$57.97	$86.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $25.50 / $34.79	Professional	26	$25.19	$25.50	$34.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.08 / $33.54 / $49.35	Professional	TC	$32.08	$33.54	$49.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.03 / $30.03 / $52.03	Facility	26	$30.03	$30.03	$52.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $85.74 / $120.82	Professional		$63.68	$85.74	$120.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.73 / $32.61 / $49.45	Professional	26	$27.73	$32.61	$49.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.11 / $49.87 / $73.45	Professional	TC	$35.11	$49.87	$73.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $74.77 / $145.31 / $145.31	Facility	26	$74.77	$145.31	$145.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.03 / $101.41 / $583.91	Professional		$79.03	$101.41	$583.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.03 / $38.65 / $335.18	Professional	26	$32.03	$38.65	$335.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.19 / $64.59 / $353.01	Professional	TC	$53.19	$64.59	$353.01
United Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $98.81 / $187.08	Professional		$81.13	$98.81	$187.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.56 / $36.51 / $51.57	Professional	26	$29.56	$36.51	$51.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.68 / $62.95 / $96.67	Professional	TC	$51.68	$62.95	$96.67