Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.52 / $28.52 / $28.52	Facility	26	$28.52	$28.52	$28.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $94.44 / $134.58	Professional		$74.38	$94.44	$134.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.76 / $65.91 / $92.48	Professional	TC	$50.76	$65.91	$92.48
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 $153.74 / $259.20 / $314.39	Professional		$153.74	$259.20	$314.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.13 / $179.91 / $218.20	Professional	TC	$124.13	$179.91	$218.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.87 / $94.64 / $232.74	Facility	26	$55.87	$94.64	$232.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $171.44 / $286.98	Professional		$112.23	$171.44	$286.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.56 / $119.24 / $199.59	Professional	TC	$77.56	$119.24	$199.59
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $85.30 / $183.26	Facility	26	$49.75	$85.30	$183.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $159.79 / $272.52	Professional		$135.00	$159.79	$272.52
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $93.89 / $111.13 / $189.53	Professional	TC	$93.89	$111.13	$189.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $124.11 / $124.11 / $124.11	Facility	26	$124.11	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $173.84 / $673.71	Professional		$99.25	$173.84	$673.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $120.40 / $514.25	Professional	TC	$67.48	$120.40	$514.25
United Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $166.77 / $302.58	Professional		$99.25	$166.77	$302.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $113.72 / $205.92	Professional	TC	$67.48	$113.72	$205.92