Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.42 / $37.42 / $56.13	Facility	26	$37.42	$37.42	$56.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $91.23 / $477.85	Professional		$73.91	$91.23	$477.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.86 / $38.78 / $193.59	Professional	26	$32.86	$38.78	$193.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.44 / $51.14 / $179.20	Professional	TC	$39.44	$51.14	$179.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.29 / $31.29 / $31.29	Facility	26	$31.29	$31.29	$31.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $215.42 / $301.49	Professional		$118.53	$215.42	$301.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $94.78 / $126.69	Professional	26	$62.89	$94.78	$126.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.87 / $142.91 / $174.79	Professional	TC	$91.87	$142.91	$174.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.65 / $129.00 / $310.32	Facility	26	$82.65	$129.00	$310.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $166.29 / $274.89	Professional		$112.50	$166.29	$274.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.84 / $69.61 / $115.07	Professional	26	$45.84	$69.61	$115.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.73 / $96.68 / $159.82	Professional	TC	$66.73	$96.68	$159.82
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $71.63 / $113.73 / $244.35	Facility	26	$71.63	$113.73	$244.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $130.94 / $246.39	Professional		$130.94	$130.94	$246.39
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.81 / $54.81 / $103.14	Professional	26	$54.81	$54.81	$103.14
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $76.13 / $76.13 / $147.77	Professional	TC	$76.13	$76.13	$147.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $163.47 / $163.47 / $163.47	Facility	26	$163.47	$163.47	$163.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $211.68 / $555.44	Professional		$102.66	$211.68	$555.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.92 / $89.95 / $269.13	Professional	26	$43.92	$89.95	$269.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.31 / $97.80 / $351.46	Professional	TC	$53.31	$97.80	$351.46
United Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $160.27 / $294.37	Professional		$88.42	$160.27	$294.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.34 / $68.78 / $127.17	Professional	26	$39.34	$68.78	$127.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.53 / $89.47 / $162.13	Professional	TC	$51.53	$89.47	$162.13