Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $1,177.48 / $1,491.06	Professional		$256.70	$1,177.48	$1,491.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.29 / $201.47 / $255.12	Professional	26	$48.29	$201.47	$255.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.86 / $976.02 / $1,235.94	Professional	TC	$189.86	$976.02	$1,235.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $120.13 / $205.41 / $205.41	Facility	26	$120.13	$205.41	$205.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,782.62 / $1,782.62 / $1,782.62	Professional		$1,782.62	$1,782.62	$1,782.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $313.70 / $313.70 / $313.70	Professional	26	$313.70	$313.70	$313.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $1,468.91 / $1,468.91 / $1,468.91	Professional	TC	$1,468.91	$1,468.91	$1,468.91