Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.32 / $15.32 / $26.04	Facility	26	$15.32	$15.32	$26.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $74.12 / $307.80	Professional		$56.75	$74.12	$307.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $16.52 / $65.55	Professional	26	$12.86	$16.52	$65.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $52.28 / $108.82	Professional	TC	$42.39	$52.28	$108.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.37 / $12.37 / $12.37	Facility	26	$12.37	$12.37	$12.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $204.08 / $247.52	Professional		$122.88	$204.08	$247.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $43.53 / $52.79	Professional	26	$26.21	$43.53	$52.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.23 / $160.55 / $194.73	Professional	TC	$108.23	$160.55	$194.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.35 / $51.41 / $126.43	Facility	26	$30.35	$51.41	$126.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $137.28 / $229.80	Professional		$70.34	$137.28	$229.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $28.36 / $47.47	Professional	26	$18.00	$28.36	$47.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.68 / $108.92 / $180.30	Professional	TC	$52.68	$108.92	$180.30
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.02 / $46.34 / $99.55	Facility	26	$27.02	$46.34	$99.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $127.95 / $218.22	Professional		$108.10	$127.95	$218.22
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $26.43 / $45.08	Professional	26	$22.33	$26.43	$45.08
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $85.77 / $101.52 / $173.14	Professional	TC	$85.77	$101.52	$173.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $125.60 / $330.45	Professional		$68.56	$125.60	$330.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $30.93 / $82.15	Professional	26	$16.60	$30.93	$82.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $51.88 / $87.32 / $318.08	Professional	TC	$51.88	$87.32	$318.08
United Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $111.63 / $209.06	Professional		$68.56	$111.63	$209.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.59 / $25.78 / $50.61	Professional	26	$16.59	$25.78	$50.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.15 / $80.17 / $158.44	Professional	TC	$51.15	$80.17	$158.44