Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.21 / $39.04 / $66.38	Facility	26	$36.21	$39.04	$66.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $123.53 / $333.26	Professional		$101.04	$123.53	$333.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $39.04 / $107.10	Professional	26	$29.91	$39.04	$107.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.56 / $80.65 / $129.40	Professional	TC	$69.56	$80.65	$129.40
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.96 / $31.96 / $31.96	Facility	26	$31.96	$31.96	$31.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.81 / $355.94 / $431.70	Professional		$210.81	$355.94	$431.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.39 / $109.30 / $132.56	Professional	26	$66.39	$109.30	$132.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.90 / $246.64 / $299.14	Professional	TC	$169.90	$246.64	$299.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.56 / $129.69 / $318.94	Facility	26	$76.56	$129.69	$318.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $235.25 / $389.41	Professional		$117.55	$235.25	$389.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.25 / $72.19 / $120.83	Professional	26	$38.25	$72.19	$120.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.36 / $163.06 / $269.92	Professional	TC	$78.36	$163.06	$269.92
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $68.18 / $116.89 / $251.14	Facility	26	$68.18	$116.89	$251.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $185.24 / $219.26 / $373.94	Professional		$185.24	$219.26	$373.94
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $67.28 / $114.74	Professional	26	$56.84	$67.28	$114.74
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $128.40 / $151.97 / $259.20	Professional	TC	$128.40	$151.97	$259.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $172.60 / $172.60 / $172.60	Facility	26	$172.60	$172.60	$172.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $214.81 / $812.81	Professional		$122.34	$214.81	$812.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.50 / $74.04 / $240.49	Professional	26	$41.50	$74.04	$240.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.84 / $145.51 / $572.32	Professional	TC	$80.84	$145.51	$572.32
United Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $205.81 / $372.99	Professional		$116.22	$205.81	$372.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.36 / $61.92 / $126.53	Professional	26	$38.36	$61.92	$126.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.84 / $141.41 / $246.46	Professional	TC	$80.84	$141.41	$246.46