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 $68.87 / $84.28 / $172.81	Professional		$68.87	$84.28	$172.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.22 / $33.78 / $76.54	Professional	26	$28.22	$33.78	$76.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.94 / $48.00 / $75.51	Professional	TC	$40.94	$48.00	$75.51
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 $142.09 / $238.91 / $289.76	Professional		$142.09	$238.91	$289.76
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 $99.34 / $144.11 / $174.79	Professional	TC	$99.34	$144.11	$174.79
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 $92.21 / $157.91 / $264.32	Professional		$92.21	$157.91	$264.32
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 $53.37 / $95.39 / $159.66	Professional	TC	$53.37	$95.39	$159.66
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 $124.34 / $147.16 / $251.00	Professional		$124.34	$147.16	$251.00
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 $75.11 / $88.90 / $151.63	Professional	TC	$75.11	$88.90	$151.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $150.25 / $495.69	Professional		$83.73	$150.25	$495.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $63.27 / $210.44	Professional	26	$35.72	$63.27	$210.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $86.40 / $335.78	Professional	TC	$48.00	$86.40	$335.78
United Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $141.38 / $255.27	Professional		$79.54	$141.38	$255.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $61.87 / $110.46	Professional	26	$35.72	$61.87	$110.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $82.15 / $146.34	Professional	TC	$48.00	$82.15	$146.34