Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.59 / $36.59 / $36.59	Facility	26	$36.59	$36.59	$36.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $153.15 / $262.38	Professional		$121.18	$153.15	$262.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $36.59 / $147.25	Professional	26	$30.53	$36.59	$147.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.66 / $118.59 / $168.49	Professional	TC	$90.66	$118.59	$168.49
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.95 / $29.95 / $29.95	Facility	26	$29.95	$29.95	$29.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.06 / $387.90 / $518.51	Professional		$255.06	$387.90	$518.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.31 / $93.03 / $124.35	Professional	26	$62.31	$93.03	$124.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.28 / $312.41 / $394.16	Professional	TC	$205.28	$312.41	$394.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.59 / $124.22 / $298.83	Facility	26	$79.59	$124.22	$298.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $285.52 / $472.01	Professional		$187.04	$285.52	$472.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.82 / $67.68 / $111.88	Professional	26	$44.82	$67.68	$111.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.85 / $217.85 / $360.13	Professional	TC	$137.85	$217.85	$360.13
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $68.97 / $113.36 / $235.30	Facility	26	$68.97	$113.36	$235.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $224.82 / $423.07	Professional		$224.82	$224.82	$423.07
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.29 / $53.29 / $100.28	Professional	26	$53.29	$53.29	$100.28
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $171.54 / $171.54 / $322.79	Professional	TC	$171.54	$171.54	$322.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $161.97 / $161.97 / $161.97	Facility	26	$161.97	$161.97	$161.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $291.49 / $781.46	Professional		$159.16	$291.49	$781.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.34 / $71.56 / $188.14	Professional	26	$39.34	$71.56	$188.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $119.82 / $220.82 / $740.95	Professional	TC	$119.82	$220.82	$740.95
United Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $283.94 / $492.50	Professional		$159.16	$283.94	$492.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.34 / $67.56 / $122.69	Professional	26	$39.34	$67.56	$122.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.82 / $213.76 / $386.88	Professional	TC	$119.82	$213.76	$386.88