Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.63 / $17.63 / $17.63	Facility	26	$17.63	$17.63	$17.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $105.95 / $177.21	Professional		$86.95	$105.95	$177.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.69 / $18.57 / $88.35	Professional	26	$15.69	$18.57	$88.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.76 / $88.15 / $123.91	Professional	TC	$69.76	$88.15	$123.91
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $14.69 / $14.69 / $14.69	Facility	26	$14.69	$14.69	$14.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $286.30 / $347.24	Professional		$169.46	$286.30	$347.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.45 / $51.26 / $62.17	Professional	26	$31.45	$51.26	$62.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.37 / $235.03 / $285.06	Professional	TC	$162.37	$235.03	$285.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.27 / $59.72 / $143.66	Facility	26	$38.27	$59.72	$143.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $188.85 / $320.38	Professional		$99.75	$188.85	$320.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.84 / $32.86 / $55.82	Professional	26	$20.84	$32.86	$55.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.97 / $155.97 / $264.88	Professional	TC	$79.97	$155.97	$264.88
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $33.15 / $52.66 / $113.13	Facility	26	$33.15	$52.66	$113.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $176.01 / $300.18	Professional		$148.69	$176.01	$300.18
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $30.64 / $52.25	Professional	26	$25.88	$30.64	$52.25
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $122.82 / $145.37 / $247.93	Professional	TC	$122.82	$145.37	$247.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $169.52 / $664.33	Professional		$97.80	$169.52	$664.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $37.78 / $93.77	Professional	26	$20.63	$37.78	$93.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.34 / $134.22 / $550.61	Professional	TC	$77.34	$134.22	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $166.90 / $328.47	Professional		$94.15	$166.90	$328.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $33.31 / $59.24	Professional	26	$19.13	$33.31	$59.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.73 / $130.34 / $254.30	Professional	TC	$74.73	$130.34	$254.30