Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.32 / $24.32 / $24.32	Facility	26	$24.32	$24.32	$24.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $47.08 / $292.70	Professional		$39.54	$47.08	$292.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $24.46 / $119.70	Professional	26	$20.53	$24.46	$119.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $22.52 / $99.00	Professional	TC	$17.45	$22.52	$99.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.17 / $20.17 / $20.17	Facility	26	$20.17	$20.17	$20.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $116.31 / $157.19	Professional		$72.34	$116.31	$157.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.77 / $61.94 / $82.12	Professional	26	$40.77	$61.94	$82.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.10 / $59.51 / $75.08	Professional	TC	$39.10	$59.51	$75.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.81 / $82.42 / $198.26	Facility	26	$52.81	$82.42	$198.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $85.08 / $140.63	Professional		$63.05	$85.08	$140.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.16 / $44.47 / $73.52	Professional	26	$30.16	$44.47	$73.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.45 / $40.61 / $68.53	Professional	TC	$31.45	$40.61	$68.53
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $45.76 / $72.66 / $156.11	Facility	26	$45.76	$72.66	$156.11
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $66.98 / $126.06	Professional		$66.98	$66.98	$126.06
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $35.02 / $35.02 / $65.90	Professional	26	$35.02	$35.02	$65.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.97 / $31.97 / $60.17	Professional	TC	$31.97	$31.97	$60.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $105.96 / $105.96 / $105.96	Facility	26	$105.96	$105.96	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $95.28 / $474.30	Professional		$53.53	$95.28	$474.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $51.24 / $151.44	Professional	26	$27.96	$51.24	$151.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $42.81 / $367.63	Professional	TC	$22.02	$42.81	$367.63
United Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $86.86 / $151.44	Professional		$47.64	$86.86	$151.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $45.71 / $80.84	Professional	26	$25.62	$45.71	$80.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $39.20 / $72.29	Professional	TC	$22.02	$39.20	$72.29