Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.35 / $54.35 / $56.52	Facility	26	$54.35	$54.35	$56.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $153.54 / $195.84	Professional		$149.13	$153.54	$195.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.43 / $56.10 / $71.50	Professional	26	$53.43	$56.10	$71.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.18 / $99.37 / $123.72	Professional	TC	$94.18	$99.37	$123.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.43 / $70.43 / $89.01	Facility	26	$70.43	$70.43	$89.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.67 / $373.28 / $476.59	Professional		$275.67	$373.28	$476.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.41 / $77.08 / $92.80	Professional	26	$58.41	$77.08	$92.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.10 / $302.30 / $386.76	Professional	TC	$217.10	$302.30	$386.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.77 / $261.89 / $261.89	Facility	26	$134.77	$261.89	$261.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.36 / $343.16 / $1,731.57	Professional		$254.36	$343.16	$1,731.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.69 / $70.08 / $367.94	Professional	26	$53.69	$70.08	$367.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $222.93 / $288.00 / $1,410.54	Professional	TC	$222.93	$288.00	$1,410.54
United Facility/Professional Professional Modifier Low / Median / High Price $269.17 / $319.02 / $570.02	Professional		$269.17	$319.02	$570.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $62.78 / $110.63	Professional	26	$52.46	$62.78	$110.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.36 / $258.57 / $459.39	Professional	TC	$215.36	$258.57	$459.39