Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $33.11 / $56.23	Facility	26	$31.62	$33.11	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $630.96	Professional		$93.33	$158.49	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $51.29 / $165.96	Professional	26	$28.84	$51.29	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $234.42	Professional	TC	$61.66	$85.11	$234.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $27.54 / $27.54	Facility	26	$23.99	$27.54	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $380.19	Professional		$173.78	$251.19	$380.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $117.49	Professional	26	$53.70	$77.62	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $181.97 / $263.03	Professional	TC	$120.23	$181.97	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $104.71 / $288.40	Facility	26	$26.30	$104.71	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $316.23	Professional		$120.23	$199.53	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $60.26 / $102.33	Professional	26	$36.31	$60.26	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $141.25 / $229.09	Professional	TC	$83.18	$141.25	$229.09
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $114.82 / $223.87	Facility	26	$91.20	$114.82	$223.87
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $251.19	Professional		$162.18	$162.18	$251.19
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $81.28	Professional	26	$48.98	$48.98	$81.28
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $112.20 / $177.83	Professional	TC	$112.20	$112.20	$177.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $512.86	Professional		$131.83	$295.12	$512.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $87.10 / $173.78	Professional	26	$50.12	$87.10	$173.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $158.49 / $478.63	Professional	TC	$75.86	$158.49	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $323.59	Professional		$112.20	$186.21	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $58.88 / $102.33	Professional	26	$34.67	$58.88	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $131.83 / $223.87	Professional	TC	$75.86	$131.83	$223.87