Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.32 / $15.32 / $15.32	Facility	26	$15.32	$15.32	$15.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $64.09 / $374.30	Professional		$50.56	$64.09	$374.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $15.87 / $66.40	Professional	26	$12.86	$15.87	$66.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $45.76 / $131.72	Professional	TC	$37.11	$45.76	$131.72
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.37 / $12.37 / $12.37	Facility	26	$12.37	$12.37	$12.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $179.91 / $218.20	Professional		$108.32	$179.91	$218.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.21 / $43.53 / $52.79	Professional	26	$26.21	$43.53	$52.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.21 / $136.38 / $165.41	Professional	TC	$92.21	$136.38	$165.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.35 / $51.41 / $126.43	Facility	26	$30.35	$51.41	$126.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $121.17 / $202.83	Professional		$63.92	$121.17	$202.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $28.36 / $47.47	Professional	26	$18.00	$28.36	$47.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.14 / $92.81 / $153.63	Professional	TC	$46.14	$92.81	$153.63
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.02 / $46.34 / $99.55	Facility	26	$27.02	$46.34	$99.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $112.93 / $192.61	Professional		$95.41	$112.93	$192.61
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $26.43 / $45.08	Professional	26	$22.33	$26.43	$45.08
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $73.08 / $86.50 / $147.53	Professional	TC	$73.08	$86.50	$147.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $106.90 / $395.03	Professional		$59.91	$106.90	$395.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $29.62 / $93.99	Professional	26	$16.23	$29.62	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $43.67 / $76.45 / $301.02	Professional	TC	$43.67	$76.45	$301.02
United Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $103.39 / $182.65	Professional		$59.91	$103.39	$182.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $27.29 / $50.29	Professional	26	$16.23	$27.29	$50.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.67 / $76.52 / $133.13	Professional	TC	$43.67	$76.52	$133.13