Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $74.13	Facility	26	$42.66	$42.66	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $102.33 / $489.78	Professional		$51.29	$102.33	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $42.66 / $128.82	Professional	26	$23.44	$42.66	$128.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $60.26 / $138.04	Professional	50	$60.26	$60.26	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $24.55 / $97.72	Professional	TC	$10.00	$24.55	$97.72
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $37.15 / $37.15	Facility	26	$32.36	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $190.55	Professional		$87.10	$128.82	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $154.88	Professional	26	$66.07	$102.33	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.18 / $44.67	Professional	TC	$17.38	$28.18	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $138.04 / $380.19	Facility	26	$34.67	$138.04	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $181.97	Professional		$79.43	$102.33	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $70.79 / $125.89	Professional	26	$34.67	$70.79	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $20.42 / $95.50	Professional	TC	$16.22	$20.42	$95.50
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $151.36 / $295.12	Facility	26	$123.03	$151.36	$295.12
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $144.54	Professional		$79.43	$79.43	$144.54
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $100.00	Professional	26	$64.57	$64.57	$100.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $16.22 / $29.51	Professional	TC	$16.22	$16.22	$29.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $562.34	Professional		$79.43	$165.96	$562.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $57.54 / $263.03	Professional	26	$30.90	$57.54	$263.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $109.65 / $426.58	Professional	TC	$39.81	$109.65	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $239.88	Professional		$74.13	$144.54	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $54.95 / $114.82	Professional	26	$31.62	$54.95	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $77.62 / $169.82	Professional	TC	$22.91	$77.62	$169.82