Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $28.18 / $42.66	Facility	26	$26.30	$28.18	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $416.87	Professional		$74.13	$125.89	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $42.66 / $93.33	Professional	26	$25.70	$42.66	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $85.11 / $218.78	Professional	TC	$47.86	$85.11	$218.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $22.91 / $22.91	Facility	26	$19.95	$22.91	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $363.08	Professional		$165.96	$245.47	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $66.07 / $97.72	Professional	26	$44.67	$66.07	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $186.21 / $269.15	Professional	TC	$123.03	$186.21	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $87.10 / $239.88	Facility	26	$22.39	$87.10	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $398.11	Professional		$104.71	$199.53	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $52.48 / $87.10	Professional	26	$29.51	$52.48	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $147.91 / $295.12	Professional	TC	$74.13	$147.91	$295.12
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $97.72 / $190.55	Facility	26	$77.62	$97.72	$190.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $380.19	Professional		$158.49	$158.49	$380.19
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $64.57	Professional	26	$40.74	$40.74	$64.57
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $114.82 / $309.03	Professional	TC	$114.82	$114.82	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $660.69	Professional		$93.33	$190.55	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $52.48 / $173.78	Professional	26	$28.84	$52.48	$173.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $125.89 / $489.78	Professional	TC	$67.61	$125.89	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $323.59	Professional		$100.00	$169.82	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $47.86 / $87.10	Professional	26	$28.18	$47.86	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $123.03 / $239.88	Professional	TC	$74.13	$123.03	$239.88