Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $44.67 / $269.15	Facility	26	$33.88	$44.67	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $263.03	Professional		$158.49	$194.98	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $154.88 / $218.78	Professional	TC	$123.03	$154.88	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $338.84	Professional		$173.78	$213.80	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $165.96 / $269.15	Professional	TC	$134.90	$165.96	$269.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $199.53 / $199.53	Facility	26	$102.33	$199.53	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $562.34	Professional		$186.21	$234.42	$562.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $186.21 / $1,174.90	Professional	TC	$147.91	$186.21	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $309.03	Professional		$181.97	$229.09	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $186.21 / $251.19	Professional	TC	$144.54	$186.21	$251.19