Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $26.30	Facility	26	$15.14	$15.14	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $263.03	Professional		$57.54	$93.33	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $25.70 / $69.18	Professional	26	$12.88	$25.70	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $57.54 / $151.36	Professional	TC	$42.66	$57.54	$151.36
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $12.59 / $12.59	Facility	26	$10.96	$12.59	$12.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $251.19	Professional		$114.82	$169.82	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $36.31 / $53.70	Professional	26	$24.55	$36.31	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $138.04 / $199.53	Professional	TC	$91.20	$138.04	$199.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $47.86 / $131.83	Facility	26	$12.30	$47.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $218.78	Professional		$69.18	$125.89	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $28.18 / $44.67	Professional	26	$17.78	$28.18	$44.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $97.72 / $169.82	Professional	TC	$51.29	$97.72	$169.82
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $52.48 / $104.71	Facility	26	$42.66	$52.48	$104.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $169.82	Professional		$107.15	$107.15	$169.82
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $22.39 / $34.67	Professional	26	$22.39	$22.39	$34.67
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $85.11 / $134.90	Professional	TC	$85.11	$85.11	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $380.19	Professional		$64.57	$134.90	$380.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $32.36 / $83.18	Professional	26	$16.60	$32.36	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $85.11 / $354.81	Professional	TC	$46.77	$85.11	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $213.80	Professional		$64.57	$107.15	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $27.54 / $47.86	Professional	26	$15.85	$27.54	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $81.28 / $169.82	Professional	TC	$48.98	$81.28	$169.82