Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.70 / $104.77 / $555.49	Facility	26	$81.70	$104.77	$555.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.41 / $832.15 / $1,003.12	Professional		$642.41	$832.15	$1,003.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $573.24 / $738.55 / $898.77	Professional	TC	$573.24	$738.55	$898.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.89 / $736.01 / $1,162.11	Professional		$572.89	$736.01	$1,162.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $474.72 / $639.70 / $1,010.05	Professional	TC	$474.72	$639.70	$1,010.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $223.06 / $451.11 / $451.11	Facility	26	$223.06	$451.11	$451.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $654.65 / $890.35 / $6,422.07	Professional		$654.65	$890.35	$6,422.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $531.48 / $703.01 / $5,800.59	Professional	TC	$531.48	$703.01	$5,800.59
United Facility/Professional Professional Modifier Low / Median / High Price $654.65 / $779.54 / $1,316.12	Professional		$654.65	$779.54	$1,316.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $531.48 / $661.24 / $1,021.85	Professional	TC	$531.48	$661.24	$1,021.85