Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $30.20 / $52.48	Facility	26	$28.84	$30.20	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $645.65	Professional		$83.18	$144.54	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $53.70 / $154.88	Professional	26	$26.92	$53.70	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $77.62 / $204.17	Professional	TC	$54.95	$77.62	$204.17
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $25.70 / $25.70	Facility	26	$21.88	$25.70	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $354.81	Professional		$162.18	$239.88	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $70.79 / $107.15	Professional	26	$48.98	$70.79	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $177.83 / $251.19	Professional	TC	$114.82	$177.83	$251.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $95.50 / $263.03	Facility	26	$24.55	$95.50	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $302.00	Professional		$104.71	$190.55	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $56.23 / $89.13	Professional	26	$33.11	$56.23	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $134.90 / $213.80	Professional	TC	$69.18	$134.90	$213.80
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $107.15 / $208.93	Facility	26	$85.11	$107.15	$208.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $239.88	Professional		$154.88	$154.88	$239.88
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $44.67 / $70.79	Professional	26	$44.67	$44.67	$70.79
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $107.15 / $169.82	Professional	TC	$107.15	$107.15	$169.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $245.47 / $660.69	Professional		$95.50	$245.47	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $75.86 / $218.78	Professional	26	$38.90	$75.86	$218.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $117.49 / $457.09	Professional	TC	$57.54	$117.49	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $309.03	Professional		$95.50	$147.91	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $53.70 / $93.33	Professional	26	$32.36	$53.70	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $102.33 / $213.80	Professional	TC	$57.54	$102.33	$213.80