Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.96 / $43.96 / $43.96	Facility	26	$43.96	$43.96	$43.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $103.70 / $546.25	Professional		$47.99	$103.70	$546.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $38.67 / $102.86	Professional	26	$24.78	$38.67	$102.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.32 / $24.53 / $98.28	Professional	TC	$10.32	$24.53	$98.28
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $36.00 / $36.00	Facility	26	$36.00	$36.00	$36.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $141.29 / $188.87	Professional		$93.18	$141.29	$188.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.54 / $112.33 / $150.16	Professional	26	$74.54	$112.33	$150.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $31.65 / $47.24	Professional	TC	$20.16	$31.65	$47.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.43 / $150.50 / $362.05	Facility	26	$96.43	$150.50	$362.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $101.84 / $174.97	Professional		$80.98	$101.84	$174.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $81.20 / $132.96	Professional	26	$39.04	$81.20	$132.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $20.62 / $82.30	Professional	TC	$16.39	$20.62	$82.30
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $83.56 / $132.69 / $285.08	Facility	26	$83.56	$132.69	$285.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $80.19 / $150.88	Professional		$80.19	$80.19	$150.88
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $63.95 / $63.95 / $120.33	Professional	26	$63.95	$63.95	$120.33
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $16.23 / $30.56	Professional	TC	$16.23	$16.23	$30.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $193.75 / $193.75 / $193.75	Facility	26	$193.75	$193.75	$193.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $184.86 / $534.75	Professional		$88.73	$184.86	$534.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $58.90 / $260.82	Professional	26	$32.11	$58.90	$260.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.92 / $122.66 / $268.35	Professional	TC	$46.92	$122.66	$268.35
United Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $163.53 / $263.14	Professional		$79.04	$163.53	$263.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $64.23 / $150.33	Professional	26	$33.72	$64.23	$150.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $111.49 / $168.85	Professional	TC	$29.00	$111.49	$168.85