Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.17 / $28.17 / $28.17	Facility	26	$28.17	$28.17	$28.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $108.31 / $383.80	Professional		$66.51	$108.31	$383.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $28.17 / $61.18	Professional	26	$24.03	$28.17	$61.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $80.14 / $220.00	Professional	TC	$42.50	$80.14	$220.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.03 / $23.03 / $23.03	Facility	26	$23.03	$23.03	$23.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $296.94 / $360.14	Professional		$178.19	$296.94	$360.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.75 / $78.34 / $95.02	Professional	26	$47.75	$78.34	$95.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $150.82 / $218.59 / $265.12	Professional	TC	$150.82	$218.59	$265.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.22 / $95.55 / $229.87	Facility	26	$61.22	$95.55	$229.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $199.16 / $425.28	Professional		$113.48	$199.16	$425.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.61 / $52.21 / $88.57	Professional	26	$30.61	$52.21	$88.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.64 / $146.94 / $349.26	Professional	TC	$78.64	$146.94	$349.26
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $53.06 / $84.25 / $181.00	Facility	26	$53.06	$84.25	$181.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $156.82 / $202.55 / $420.19	Professional		$156.82	$202.55	$420.19
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $51.23 / $82.98	Professional	26	$41.11	$51.23	$82.98
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $115.71 / $149.44 / $364.44	Professional	TC	$115.71	$149.44	$364.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $190.84 / $575.17	Professional		$106.46	$190.84	$575.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $53.49 / $156.50	Professional	26	$29.59	$53.49	$156.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $76.87 / $136.49 / $485.50	Professional	TC	$76.87	$136.49	$485.50
United Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $179.73 / $341.30	Professional		$104.98	$179.73	$341.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $49.03 / $90.21	Professional	26	$29.52	$49.03	$90.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.87 / $129.51 / $238.14	Professional	TC	$76.87	$129.51	$238.14