Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.22 / $29.22 / $29.22	Facility	26	$29.22	$29.22	$29.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $100.19 / $313.50	Professional		$81.44	$100.19	$313.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $29.22 / $78.30	Professional	26	$19.89	$29.22	$78.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.97 / $69.95 / $105.95	Professional	TC	$56.97	$69.95	$105.95
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.90 / $23.90 / $23.90	Facility	26	$23.90	$23.90	$23.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $282.43 / $342.55	Professional		$167.71	$282.43	$342.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.50 / $81.25 / $98.54	Professional	26	$49.50	$81.25	$98.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.81 / $201.18 / $244.00	Professional	TC	$138.81	$201.18	$244.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.25 / $96.98 / $238.49	Facility	26	$57.25	$96.98	$238.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $187.56 / $310.45	Professional		$92.34	$187.56	$310.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.23 / $54.14 / $90.62	Professional	26	$26.23	$54.14	$90.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.73 / $133.41 / $223.33	Professional	TC	$66.73	$133.41	$223.33
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $50.98 / $87.41 / $187.79	Facility	26	$50.98	$87.41	$187.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.68 / $174.80 / $298.13	Professional		$147.68	$174.80	$298.13
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $42.63 / $50.46 / $86.06	Professional	26	$42.63	$50.46	$86.06
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $105.05 / $124.34 / $212.07	Professional	TC	$105.05	$124.34	$212.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.65 / $128.65 / $128.65	Facility	26	$128.65	$128.65	$128.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $174.48 / $648.50	Professional		$97.80	$174.48	$648.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $52.95 / $180.32	Professional	26	$29.15	$52.95	$180.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.12 / $121.84 / $468.12	Professional	TC	$67.12	$121.84	$468.12
United Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $161.21 / $305.07	Professional		$90.02	$161.21	$305.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $42.68 / $93.54	Professional	26	$28.15	$42.68	$93.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.34 / $123.77 / $219.00	Professional	TC	$65.34	$123.77	$219.00