Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.43 / $33.43 / $50.14	Facility	26	$33.43	$33.43	$50.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $132.12 / $557.65	Professional		$92.42	$132.12	$557.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.47 / $45.22 / $146.85	Professional	26	$29.47	$45.22	$146.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.95 / $83.28 / $252.00	Professional	TC	$62.95	$83.28	$252.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $27.35 / $27.35 / $27.35	Facility	26	$27.35	$27.35	$27.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.85 / $277.32 / $370.70	Professional		$182.85	$277.32	$370.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.48 / $84.25 / $112.62	Professional	26	$56.48	$84.25	$112.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.41 / $204.56 / $258.08	Professional	TC	$134.41	$204.56	$258.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.70 / $113.47 / $272.97	Facility	26	$72.70	$113.47	$272.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $204.31 / $334.93	Professional		$133.90	$204.31	$334.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.04 / $61.87 / $102.29	Professional	26	$41.04	$61.87	$102.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.48 / $142.44 / $235.47	Professional	TC	$92.48	$142.44	$235.47
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $63.00 / $103.55 / $214.94	Facility	26	$63.00	$103.55	$214.94
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $160.88 / $302.74	Professional		$160.88	$160.88	$302.74
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $48.72 / $98.35	Professional	26	$48.72	$48.72	$98.35
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $112.16 / $112.16 / $217.71	Professional	TC	$112.16	$112.16	$217.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $171.00 / $171.00 / $171.00	Facility	26	$171.00	$171.00	$171.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.82 / $293.19 / $502.20	Professional		$133.82	$293.19	$502.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.39 / $85.71 / $175.76	Professional	26	$43.39	$85.71	$175.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $85.12 / $153.88 / $479.00	Professional	TC	$85.12	$153.88	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $198.95 / $340.00	Professional		$111.52	$198.95	$340.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $67.56 / $123.02	Professional	26	$35.01	$67.56	$123.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.51 / $137.72 / $254.72	Professional	TC	$76.51	$137.72	$254.72