Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.68 / $31.68 / $47.51	Facility	26	$31.68	$31.68	$47.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $107.37 / $472.95	Professional		$71.81	$107.37	$472.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $46.78 / $173.00	Professional	26	$27.64	$46.78	$173.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.44 / $57.77 / $178.20	Professional	TC	$43.44	$57.77	$178.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.31 / $26.31 / $26.31	Facility	26	$26.31	$26.31	$26.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $213.26 / $285.06	Professional		$140.91	$213.26	$285.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.58 / $80.38 / $106.75	Professional	26	$53.58	$80.38	$106.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.86 / $141.33 / $178.31	Professional	TC	$92.86	$141.33	$178.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.88 / $107.50 / $258.60	Facility	26	$68.88	$107.50	$258.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $156.62 / $258.91	Professional		$106.39	$156.62	$258.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.93 / $58.65 / $96.96	Professional	26	$38.93	$58.65	$96.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.03 / $97.97 / $161.94	Professional	TC	$67.03	$97.97	$161.94
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $59.69 / $98.10 / $203.63	Facility	26	$59.69	$98.10	$203.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $123.32 / $232.07	Professional		$123.32	$123.32	$232.07
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $46.18 / $46.18 / $86.91	Professional	26	$46.18	$46.18	$86.91
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $77.14 / $77.14 / $145.16	Professional	TC	$77.14	$77.14	$145.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $139.28 / $139.28 / $139.28	Facility	26	$139.28	$139.28	$139.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $190.84 / $473.40	Professional		$95.33	$190.84	$473.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.82 / $75.05 / $176.28	Professional	26	$37.82	$75.05	$176.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $55.94 / $99.43 / $329.23	Professional	TC	$55.94	$99.43	$329.23
United Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $153.94 / $270.92	Professional		$85.53	$153.94	$270.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.20 / $58.61 / $110.53	Professional	26	$33.20	$58.61	$110.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.33 / $93.61 / $168.87	Professional	TC	$52.33	$93.61	$168.87