Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.63 / $41.63 / $62.44	Facility	26	$41.63	$41.63	$62.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $144.37 / $521.54	Professional		$93.43	$144.37	$521.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.53 / $48.11 / $210.00	Professional	26	$36.53	$48.11	$210.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $72.29 / $239.40	Professional	TC	$56.82	$72.29	$239.40
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.79 / $34.79 / $34.79	Facility	26	$34.79	$34.79	$34.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.26 / $289.61 / $387.12	Professional		$189.26	$289.61	$387.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.88 / $105.31 / $140.77	Professional	26	$69.88	$105.31	$140.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.30 / $195.26 / $246.35	Professional	TC	$128.30	$195.26	$246.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.84 / $143.33 / $344.81	Facility	26	$91.84	$143.33	$344.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $212.05 / $347.61	Professional		$136.85	$212.05	$347.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.99 / $77.34 / $127.86	Professional	26	$50.99	$77.34	$127.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.20 / $134.71 / $220.82	Professional	TC	$85.20	$134.71	$220.82
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $79.58 / $126.37 / $271.50	Facility	26	$79.58	$126.37	$271.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $166.97 / $166.97 / $314.20	Professional		$166.97	$166.97	$314.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.90 / $60.90 / $114.60	Professional	26	$60.90	$60.90	$114.60
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $106.07 / $106.07 / $199.60	Professional	TC	$106.07	$106.07	$199.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $181.68 / $181.68 / $181.68	Facility	26	$181.68	$181.68	$181.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $294.19 / $494.10	Professional		$132.66	$294.19	$494.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.98 / $106.51 / $216.34	Professional	26	$51.98	$106.51	$216.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.93 / $143.26 / $450.80	Professional	TC	$72.93	$143.26	$450.80
United Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $205.39 / $368.98	Professional		$115.13	$205.39	$368.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.31 / $77.27 / $144.19	Professional	26	$43.31	$77.27	$144.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $132.35 / $239.11	Professional	TC	$71.81	$132.35	$239.11