Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.19 / $28.19 / $47.92	Facility	26	$28.19	$28.19	$47.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $113.50 / $195.85	Professional		$90.73	$113.50	$195.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $27.09 / $45.31	Professional	26	$23.50	$27.09	$45.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $88.76 / $154.35	Professional	TC	$66.45	$88.76	$154.35
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.03 / $23.03 / $23.03	Facility	26	$23.03	$23.03	$23.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $374.31 / $453.99	Professional		$217.80	$374.31	$453.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.33 / $81.25 / $98.54	Professional	26	$48.33	$81.25	$98.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.42 / $293.07 / $355.45	Professional	TC	$191.42	$293.07	$355.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.56 / $95.81 / $235.62	Facility	26	$56.56	$95.81	$235.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $243.63 / $403.27	Professional		$120.20	$243.63	$403.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.01 / $52.21 / $87.39	Professional	26	$30.01	$52.21	$87.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.60 / $191.42 / $316.86	Professional	TC	$88.60	$191.42	$316.86
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $50.36 / $86.35 / $185.53	Facility	26	$50.36	$86.35	$185.53
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $191.84 / $227.06 / $387.26	Professional		$191.84	$227.06	$387.26
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $48.66 / $82.98	Professional	26	$41.11	$48.66	$82.98
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $150.72 / $178.41 / $304.27	Professional	TC	$150.72	$178.41	$304.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $125.66 / $125.66 / $125.66	Facility	26	$125.66	$125.66	$125.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $199.12 / $873.78	Professional		$118.97	$199.12	$873.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $52.95 / $198.13	Professional	26	$30.32	$52.95	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $89.96 / $146.16 / $695.99	Professional	TC	$89.96	$146.16	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $180.48 / $381.80	Professional		$113.44	$180.48	$381.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $58.78 / $148.47	Professional	26	$30.32	$58.78	$148.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.95 / $137.84 / $306.93	Professional	TC	$88.95	$137.84	$306.93