Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $269.15	Professional		$83.18	$112.20	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $70.79 / $165.96	Professional	TC	$53.70	$70.79	$165.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $34.67 / $34.67	Facility	26	$30.20	$34.67	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $389.05	Professional		$177.83	$257.04	$389.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $169.82 / $245.47	Professional	TC	$112.20	$169.82	$245.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $125.89 / $346.74	Facility	26	$32.36	$125.89	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $346.74	Professional		$120.23	$208.93	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $134.90 / $223.87	Professional	TC	$81.28	$134.90	$223.87
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $141.25 / $275.42	Facility	26	$112.20	$141.25	$275.42
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $257.04	Professional		$165.96	$165.96	$257.04
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $107.15 / $165.96	Professional	TC	$107.15	$107.15	$165.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $1,122.02	Professional		$104.71	$186.21	$1,122.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $114.82 / $912.01	Professional	TC	$63.10	$114.82	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $338.84	Professional		$104.71	$181.97	$338.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $109.65 / $213.80	Professional	TC	$63.10	$109.65	$213.80