Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.99 / $42.24 / $238.72	Facility	26	$34.99	$42.24	$238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.18 / $189.81 / $212.24	Professional		$140.18	$189.81	$212.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.19 / $148.75 / $168.65	Professional	TC	$111.19	$148.75	$168.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.85 / $205.73 / $333.57	Professional		$176.85	$205.73	$333.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.86 / $164.74 / $267.13	Professional	TC	$138.86	$164.74	$267.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $101.86 / $198.60 / $198.60	Facility	26	$101.86	$198.60	$198.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $230.61 / $513.87	Professional		$191.41	$230.61	$513.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.54 / $187.46 / $448.53	Professional	TC	$147.54	$187.46	$448.53
United Facility/Professional Professional Modifier Low / Median / High Price $184.49 / $229.26 / $452.69	Professional		$184.49	$229.26	$452.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.54 / $187.46 / $335.44	Professional	TC	$147.54	$187.46	$335.44