Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.78 / $33.78 / $33.78	Facility	26	$33.78	$33.78	$33.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $111.78 / $400.00	Professional		$91.62	$111.78	$400.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.22 / $33.78 / $78.31	Professional	26	$28.22	$33.78	$78.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.65 / $74.53 / $124.53	Professional	TC	$63.65	$74.53	$124.53
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $27.63 / $27.63 / $27.63	Facility	26	$27.63	$27.63	$27.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $318.22 / $385.95	Professional		$188.67	$318.22	$385.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.65 / $94.78 / $114.96	Professional	26	$57.65	$94.78	$114.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.15 / $223.43 / $270.99	Professional	TC	$154.15	$223.43	$270.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.20 / $112.17 / $275.83	Facility	26	$66.20	$112.17	$275.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $210.76 / $352.79	Professional		$121.80	$210.76	$352.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.83 / $62.52 / $104.65	Professional	26	$38.83	$62.52	$104.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.97 / $148.24 / $248.14	Professional	TC	$82.97	$148.24	$248.14
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $58.96 / $101.10 / $217.20	Facility	26	$58.96	$101.10	$217.20
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $196.43 / $335.01	Professional		$165.95	$196.43	$335.01
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $49.23 / $58.27 / $99.38	Professional	26	$49.23	$58.27	$99.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $116.73 / $138.16 / $235.64	Professional	TC	$116.73	$138.16	$235.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $198.92 / $616.33	Professional		$110.43	$198.92	$616.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $64.81 / $181.85	Professional	26	$35.72	$64.81	$181.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.70 / $135.43 / $448.07	Professional	TC	$74.70	$135.43	$448.07
United Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $175.58 / $353.99	Professional		$87.90	$175.58	$353.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.71 / $61.87 / $108.93	Professional	26	$35.71	$61.87	$108.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.58 / $127.91 / $231.30	Professional	TC	$72.58	$127.91	$231.30