Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.45 / $40.45 / $40.45	Facility	26	$40.45	$40.45	$40.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $115.26 / $164.68	Professional		$90.10	$115.26	$164.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.44 / $74.80 / $104.95	Professional	TC	$56.44	$74.80	$104.95
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.40 / $33.40 / $33.40	Facility	26	$33.40	$33.40	$33.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $316.27 / $383.60	Professional		$188.67	$316.27	$383.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $136.74 / $202.15 / $245.18	Professional	TC	$136.74	$202.15	$245.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.77 / $138.55 / $333.31	Facility	26	$88.77	$138.55	$333.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $210.12 / $356.47	Professional		$136.94	$210.12	$356.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.08 / $134.71 / $228.76	Professional	TC	$87.08	$134.71	$228.76
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $76.93 / $122.16 / $262.45	Facility	26	$76.93	$122.16	$262.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $195.83 / $333.99	Professional		$165.45	$195.83	$333.99
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $106.07 / $125.55 / $214.12	Professional	TC	$106.07	$125.55	$214.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $180.13 / $180.13 / $180.13	Facility	26	$180.13	$180.13	$180.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $188.39 / $1,114.04	Professional		$104.66	$188.39	$1,114.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.80 / $113.98 / $909.46	Professional	TC	$62.80	$113.98	$909.46
United Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $186.71 / $319.08	Professional		$104.66	$186.71	$319.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.80 / $103.80 / $207.69	Professional	TC	$62.80	$103.80	$207.69