Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $239.88	Professional		$74.13	$104.71	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $27.54 / $66.07	Professional	26	$16.98	$27.54	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $75.86 / $169.82	Professional	TC	$54.95	$75.86	$169.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $16.98 / $16.98	Facility	26	$14.79	$16.98	$16.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $354.81	Professional		$162.18	$234.42	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $47.86 / $70.79	Professional	26	$33.11	$47.86	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $194.98 / $281.84	Professional	TC	$128.82	$194.98	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $63.10 / $173.78	Facility	26	$16.22	$63.10	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $309.03	Professional		$89.13	$173.78	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $38.02 / $60.26	Professional	26	$22.39	$38.02	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $138.04 / $245.47	Professional	TC	$67.61	$138.04	$245.47
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $69.18 / $138.04	Facility	26	$56.23	$69.18	$138.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $234.42	Professional		$151.36	$151.36	$234.42
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.20 / $46.77	Professional	26	$30.20	$30.20	$46.77
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $120.23 / $190.55	Professional	TC	$120.23	$120.23	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $630.96	Professional		$83.18	$144.54	$630.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $34.67 / $128.82	Professional	26	$20.42	$34.67	$128.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $109.65 / $512.86	Professional	TC	$63.10	$109.65	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $295.12	Professional		$89.13	$141.25	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $35.48 / $61.66	Professional	26	$20.42	$35.48	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $109.65 / $239.88	Professional	TC	$67.61	$109.65	$239.88