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 / $54.88	Facility	26	$36.59	$36.59	$54.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $141.91 / $505.00	Professional		$82.40	$141.91	$505.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $53.72 / $160.00	Professional	26	$32.13	$53.72	$160.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.18 / $60.93 / $209.70	Professional	TC	$49.18	$60.93	$209.70
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.41 / $30.41 / $30.41	Facility	26	$30.41	$30.41	$30.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $240.39 / $326.12	Professional		$150.72	$240.39	$326.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.73 / $94.51 / $124.35	Professional	26	$61.73	$94.51	$124.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $105.09 / $161.41 / $201.77	Professional	TC	$105.09	$161.41	$201.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.36 / $125.42 / $301.70	Facility	26	$80.36	$125.42	$301.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $178.53 / $295.14	Professional		$120.87	$178.53	$295.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.81 / $67.68 / $111.88	Professional	26	$44.81	$67.68	$111.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.01 / $110.86 / $183.26	Professional	TC	$75.01	$110.86	$183.26
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $69.64 / $110.58 / $237.56	Facility	26	$69.64	$110.58	$237.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $140.58 / $272.87	Professional		$140.58	$140.58	$272.87
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 $87.29 / $87.29 / $169.44	Professional	TC	$87.29	$87.29	$169.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $163.00 / $163.00 / $163.00	Facility	26	$163.00	$163.00	$163.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $241.47 / $480.02	Professional		$116.81	$241.47	$480.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.72 / $88.46 / $216.90	Professional	26	$45.72	$88.46	$216.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $116.39 / $372.64	Professional	TC	$63.88	$116.39	$372.64
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $173.83 / $311.80	Professional		$97.44	$173.83	$311.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.83 / $77.15 / $227.43	Professional	26	$40.83	$77.15	$227.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.52 / $105.59 / $218.66	Professional	TC	$67.52	$105.59	$218.66