Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.13 / $27.13 / $27.13	Facility	26	$27.13	$27.13	$27.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $114.36 / $197.35	Professional		$97.57	$114.36	$197.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.70 / $26.22 / $41.22	Professional	26	$22.70	$26.22	$41.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $90.71 / $157.35	Professional	TC	$73.93	$90.71	$157.35
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $22.46 / $22.46 / $22.46	Facility	26	$22.46	$22.46	$22.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.66 / $382.05 / $463.37	Professional		$212.66	$382.05	$463.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.59 / $76.41 / $92.67	Professional	26	$46.59	$76.41	$92.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $206.67 / $305.64 / $370.70	Professional	TC	$206.67	$305.64	$370.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.80 / $91.14 / $224.12	Facility	26	$53.80	$91.14	$224.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $253.30 / $419.28	Professional		$120.20	$253.30	$419.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.63 / $50.92 / $85.93	Professional	26	$29.63	$50.92	$85.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.57 / $202.38 / $335.00	Professional	TC	$90.57	$202.38	$335.00
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.91 / $82.14 / $176.48	Facility	26	$47.91	$82.14	$176.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $199.45 / $236.08 / $402.63	Professional		$199.45	$236.08	$402.63
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $40.09 / $47.46 / $80.94	Professional	26	$40.09	$47.46	$80.94
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $159.36 / $188.62 / $321.69	Professional	TC	$159.36	$188.62	$321.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $121.12 / $121.12 / $121.12	Facility	26	$121.12	$121.12	$121.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $194.52 / $859.12	Professional		$116.22	$194.52	$859.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $50.22 / $211.35	Professional	26	$28.15	$50.22	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.48 / $146.10 / $689.44	Professional	TC	$89.48	$146.10	$689.44
United Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $215.83 / $411.55	Professional		$115.90	$215.83	$411.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $49.32 / $85.82	Professional	26	$28.15	$49.32	$85.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.27 / $146.00 / $332.36	Professional	TC	$88.27	$146.00	$332.36