Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $47.86	Facility	26	$28.18	$28.18	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $263.03	Professional		$89.13	$123.03	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.18 / $79.43	Professional	26	$22.91	$28.18	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $93.33 / $204.17	Professional	TC	$72.44	$93.33	$204.17
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $23.99 / $23.99	Facility	26	$20.89	$23.99	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $446.68	Professional		$204.17	$302.00	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $66.07 / $100.00	Professional	26	$45.71	$66.07	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $245.47 / $346.74	Professional	TC	$158.49	$245.47	$346.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $89.13 / $245.47	Facility	26	$22.39	$89.13	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $380.19	Professional		$114.82	$223.87	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $52.48 / $83.18	Professional	26	$29.51	$52.48	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $181.97 / $302.00	Professional	TC	$85.11	$181.97	$302.00
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $97.72 / $194.98	Facility	26	$79.43	$97.72	$194.98
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $302.00	Professional		$190.55	$190.55	$302.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $64.57	Professional	26	$40.74	$40.74	$64.57
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $151.36 / $234.42	Professional	TC	$151.36	$151.36	$234.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $870.96	Professional		$107.15	$190.55	$870.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $50.12 / $199.53	Professional	26	$28.84	$50.12	$199.53
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $141.25 / $691.83	Professional	TC	$81.28	$141.25	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $380.19	Professional		$114.82	$181.97	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $48.98 / $87.10	Professional	26	$28.84	$48.98	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $134.90 / $302.00	Professional	TC	$85.11	$134.90	$302.00