Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.38 / $23.38 / $23.38	Facility	26	$23.38	$23.38	$23.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.12 / $132.31 / $212.02	Professional		$106.12	$132.31	$212.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.63 / $108.49 / $177.47	Professional	TC	$88.63	$108.49	$177.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.29 / $19.29 / $19.29	Facility	26	$19.29	$19.29	$19.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.84 / $411.07 / $498.57	Professional		$242.84	$411.07	$498.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $225.54 / $345.30 / $418.80	Professional	TC	$225.54	$345.30	$418.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.28 / $80.03 / $192.52	Facility	26	$51.28	$80.03	$192.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $272.63 / $451.28	Professional		$126.07	$272.63	$451.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.74 / $228.81 / $378.74	Professional	TC	$99.74	$228.81	$378.74
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $44.43 / $73.03 / $151.59	Facility	26	$44.43	$73.03	$151.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $254.10 / $433.36	Professional		$214.67	$254.10	$433.36
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $180.16 / $213.25 / $363.70	Professional	TC	$180.16	$213.25	$363.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.46 / $104.46 / $104.46	Facility	26	$104.46	$104.46	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $210.02 / $923.37	Professional		$125.49	$210.02	$923.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $102.17 / $168.03 / $778.42	Professional	TC	$102.17	$168.03	$778.42
United Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $198.06 / $409.01	Professional		$122.43	$198.06	$409.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.78 / $155.10 / $327.90	Professional	TC	$100.78	$155.10	$327.90