Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.97 / $30.97 / $52.33	Facility	26	$30.97	$30.97	$52.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $125.24 / $651.70	Professional		$87.42	$125.24	$651.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.58 / $44.91 / $180.00	Professional	26	$27.58	$44.91	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.13 / $84.53 / $196.69	Professional	TC	$58.13	$84.53	$196.69
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $25.33 / $25.33 / $25.33	Facility	26	$25.33	$25.33	$25.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $263.27 / $351.93	Professional		$174.11	$263.27	$351.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.41 / $78.11 / $104.41	Professional	26	$52.41	$78.11	$104.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.91 / $196.19 / $247.52	Professional	TC	$128.91	$196.19	$247.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.34 / $105.11 / $252.86	Facility	26	$67.34	$105.11	$252.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $194.65 / $319.08	Professional		$125.25	$194.65	$319.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.04 / $57.36 / $94.83	Professional	26	$38.04	$57.36	$94.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.27 / $137.28 / $226.95	Professional	TC	$86.27	$137.28	$226.95
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $58.36 / $95.92 / $199.10	Facility	26	$58.36	$95.92	$199.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $153.27 / $153.27 / $288.41	Professional		$153.27	$153.27	$288.41
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.17 / $45.17 / $85.00	Professional	26	$45.17	$45.17	$85.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $108.10 / $108.10 / $203.42	Professional	TC	$108.10	$108.10	$203.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $136.22 / $136.22 / $136.22	Facility	26	$136.22	$136.22	$136.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $219.53 / $654.87	Professional		$103.35	$219.53	$654.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.65 / $71.13 / $211.95	Professional	26	$38.65	$71.13	$211.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.27 / $129.21 / $461.63	Professional	TC	$57.27	$129.21	$461.63
United Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $148.69 / $355.67	Professional		$96.82	$148.69	$355.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $58.46 / $108.14	Professional	26	$32.47	$58.46	$108.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.27 / $101.61 / $240.24	Professional	TC	$57.27	$101.61	$240.24