Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.71 / $25.71 / $43.70	Facility	26	$25.71	$25.71	$43.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $114.27 / $261.20	Professional		$82.81	$114.27	$261.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.15 / $26.11 / $97.85	Professional	26	$22.15	$26.11	$97.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $87.61 / $152.36	Professional	TC	$59.92	$87.61	$152.36
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $21.01 / $21.01 / $21.01	Facility	26	$21.01	$21.01	$21.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.55 / $361.74 / $438.74	Professional		$212.55	$361.74	$438.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.67 / $72.54 / $87.98	Professional	26	$43.67	$72.54	$87.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.06 / $289.20 / $350.76	Professional	TC	$198.06	$289.20	$350.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.35 / $85.30 / $209.76	Facility	26	$50.35	$85.30	$209.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.23 / $237.83 / $393.67	Professional		$110.23	$237.83	$393.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.59 / $47.05 / $79.41	Professional	26	$28.59	$47.05	$79.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.55 / $190.78 / $315.79	Professional	TC	$80.55	$190.78	$315.79
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $44.84 / $76.88 / $165.16	Facility	26	$44.84	$76.88	$165.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $221.66 / $378.04	Professional		$187.27	$221.66	$378.04
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $37.04 / $43.85 / $74.79	Professional	26	$37.04	$43.85	$74.79
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $150.22 / $177.81 / $303.25	Professional	TC	$150.22	$177.81	$303.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.54 / $113.54 / $113.54	Facility	26	$113.54	$113.54	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $241.76 / $841.81	Professional		$124.32	$241.76	$841.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.21 / $53.40 / $205.77	Professional	26	$29.21	$53.40	$205.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.74 / $186.62 / $680.78	Professional	TC	$97.74	$186.62	$680.78
United Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $221.61 / $400.52	Professional		$124.32	$221.61	$400.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.05 / $47.03 / $82.53	Professional	26	$27.05	$47.03	$82.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.97 / $165.89 / $317.99	Professional	TC	$94.97	$165.89	$317.99