Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.58 / $20.58 / $20.58	Facility	26	$20.58	$20.58	$20.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $86.40 / $178.24	Professional		$73.73	$86.40	$178.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $20.58 / $44.32	Professional	26	$17.07	$20.58	$44.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $67.95 / $118.09	Professional	TC	$55.57	$67.95	$118.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.70 / $16.70 / $16.70	Facility	26	$16.70	$16.70	$16.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.79 / $286.30 / $347.24	Professional		$171.79	$286.30	$347.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.94 / $57.06 / $69.20	Professional	26	$34.94	$57.06	$69.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.68 / $229.23 / $278.02	Professional	TC	$151.68	$229.23	$278.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.00 / $67.77 / $166.66	Facility	26	$40.00	$67.77	$166.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $192.07 / $317.93	Professional		$92.29	$192.07	$317.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.85 / $38.03 / $63.65	Professional	26	$22.85	$38.03	$63.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.06 / $154.04 / $254.65	Professional	TC	$70.06	$154.04	$254.65
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $35.61 / $61.08 / $131.22	Facility	26	$35.61	$61.08	$131.22
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $151.24 / $179.01 / $305.30	Professional		$151.24	$179.01	$305.30
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $29.94 / $35.44 / $60.45	Professional	26	$29.94	$35.44	$60.45
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $121.29 / $143.57 / $244.86	Professional	TC	$121.29	$143.57	$244.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $152.06 / $481.04	Professional		$89.99	$152.06	$481.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $36.79 / $127.82	Professional	26	$21.29	$36.79	$127.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $69.59 / $113.58 / $509.36	Professional	TC	$69.59	$113.58	$509.36
United Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $126.81 / $320.45	Professional		$86.60	$126.81	$320.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.90 / $34.72 / $64.91	Professional	26	$20.90	$34.72	$64.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.59 / $113.58 / $223.36	Professional	TC	$69.59	$113.58	$223.36