Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.81 / $27.81 / $27.81	Facility	26	$27.81	$27.81	$27.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $88.99 / $348.88	Professional		$49.69	$88.99	$348.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.57 / $29.04 / $132.00	Professional	26	$24.57	$29.04	$132.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.39 / $35.69 / $105.00	Professional	TC	$25.39	$35.69	$105.00
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 $103.23 / $157.09 / $209.98	Professional		$103.23	$157.09	$209.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.75 / $71.09 / $95.02	Professional	26	$47.75	$71.09	$95.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $91.12 / $114.96	Professional	TC	$61.66	$91.12	$114.96
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 $92.37 / $117.30 / $193.92	Professional		$92.37	$117.30	$193.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.04 / $52.21 / $86.30	Professional	26	$34.04	$52.21	$86.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.26 / $65.09 / $109.86	Professional	TC	$51.26	$65.09	$109.86
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $53.06 / $87.20 / $181.00	Facility	26	$53.06	$87.20	$181.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $92.37 / $179.29	Professional		$92.37	$92.37	$179.29
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $41.11 / $77.36	Professional	26	$41.11	$41.11	$77.36
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $51.26 / $51.26 / $96.46	Professional	TC	$51.26	$51.26	$96.46
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 $71.06 / $119.82 / $562.97	Professional		$71.06	$119.82	$562.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.72 / $57.88 / $186.58	Professional	26	$31.72	$57.88	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.43 / $60.26 / $399.92	Professional	TC	$33.43	$60.26	$399.92
United Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $109.58 / $199.46	Professional		$65.15	$109.58	$199.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $49.26 / $90.30	Professional	26	$29.59	$49.26	$90.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.43 / $56.22 / $108.13	Professional	TC	$33.43	$56.22	$108.13