Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $36.31	Facility	26	$23.99	$23.99	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $288.40	Professional		$38.90	$74.13	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $42.66 / $131.83	Professional	26	$19.95	$42.66	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $97.72	Professional	TC	$16.98	$22.91	$97.72
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $21.38 / $21.38	Facility	26	$18.62	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $158.49	Professional		$72.44	$104.71	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $56.23 / $83.18	Professional	26	$38.02	$56.23	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $52.48 / $74.13	Professional	TC	$33.88	$52.48	$74.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $75.86 / $208.93	Facility	26	$19.05	$75.86	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $138.04	Professional		$54.95	$85.11	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $43.65 / $69.18	Professional	26	$26.30	$43.65	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $40.74 / $67.61	Professional	TC	$26.30	$40.74	$67.61
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $83.18 / $162.18	Facility	26	$67.61	$83.18	$162.18
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $104.71	Professional		$67.61	$67.61	$104.71
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $34.67 / $54.95	Professional	26	$34.67	$34.67	$54.95
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $31.62 / $50.12	Professional	TC	$31.62	$31.62	$50.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $100.00 / $501.19	Professional		$47.86	$100.00	$501.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $54.95 / $151.36	Professional	26	$25.70	$54.95	$151.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $41.69 / $371.54	Professional	TC	$21.38	$41.69	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $83.18 / $138.04	Professional		$47.86	$83.18	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $41.69 / $74.13	Professional	26	$25.12	$41.69	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.90 / $70.79	Professional	TC	$21.88	$38.90	$70.79