Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $40.74 / $70.79	Facility	26	$39.81	$40.74	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $616.60	Professional		$95.50	$204.17	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $85.11 / $257.04	Professional	26	$36.31	$85.11	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $83.18 / $239.88	Professional	TC	$56.23	$83.18	$239.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $36.31 / $36.31	Facility	26	$31.62	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $389.05	Professional		$177.83	$263.03	$389.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $95.50 / $144.54	Professional	26	$66.07	$95.50	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $245.47	Professional	TC	$112.20	$173.78	$245.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $131.83 / $363.08	Facility	26	$33.11	$131.83	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $331.13	Professional		$112.20	$204.17	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $75.86 / $120.23	Professional	26	$44.67	$75.86	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $131.83 / $208.93	Professional	TC	$69.18	$131.83	$208.93
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $144.54 / $281.84	Facility	26	$117.49	$144.54	$281.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $263.03	Professional		$165.96	$165.96	$263.03
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $95.50	Professional	26	$60.26	$60.26	$95.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $107.15 / $165.96	Professional	TC	$107.15	$107.15	$165.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $489.78	Professional		$125.89	$302.00	$489.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $112.20 / $218.78	Professional	26	$50.12	$112.20	$218.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $144.54 / $446.68	Professional	TC	$72.44	$144.54	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $331.13	Professional		$112.20	$190.55	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $74.13 / $125.89	Professional	26	$42.66	$74.13	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $120.23 / $213.80	Professional	TC	$70.79	$120.23	$213.80