Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $69.18	Facility	26	$28.84	$28.84	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $295.12	Professional		$77.62	$104.71	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.90 / $97.72	Professional	26	$22.91	$38.90	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $72.44 / $162.18	Professional	TC	$56.23	$72.44	$162.18
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 $158.49 / $229.09 / $338.84	Professional		$158.49	$229.09	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $67.61 / $100.00	Professional	26	$46.77	$67.61	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $169.82 / $245.47	Professional	TC	$112.20	$169.82	$245.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $91.20 / $251.19	Facility	26	$23.44	$91.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $295.12	Professional		$91.20	$173.78	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $53.70 / $85.11	Professional	26	$25.70	$53.70	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $131.83 / $218.78	Professional	TC	$66.07	$131.83	$218.78
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $100.00 / $194.98	Facility	26	$81.28	$100.00	$194.98
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $229.09	Professional		$147.91	$147.91	$229.09
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $66.07	Professional	26	$42.66	$42.66	$66.07
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $104.71 / $165.96	Professional	TC	$104.71	$104.71	$165.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $645.65	Professional		$89.13	$177.83	$645.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $54.95 / $181.97	Professional	26	$28.18	$54.95	$181.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $120.23 / $467.74	Professional	TC	$63.10	$120.23	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $295.12	Professional		$91.20	$147.91	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $41.69 / $89.13	Professional	26	$26.30	$41.69	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $109.65 / $208.93	Professional	TC	$63.10	$109.65	$208.93