Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $18.62	Facility	26	$16.98	$16.98	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $275.42	Professional		$81.28	$109.65	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $27.54 / $85.11	Professional	26	$15.85	$27.54	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $87.10 / $186.21	Professional	TC	$64.57	$87.10	$186.21
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $14.79 / $14.79	Facility	26	$12.88	$14.79	$14.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $346.74	Professional		$158.49	$234.42	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $43.65 / $64.57	Professional	26	$29.51	$43.65	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $199.53 / $281.84	Professional	TC	$128.82	$199.53	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $54.95 / $151.36	Facility	26	$14.79	$54.95	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $295.12	Professional		$95.50	$181.97	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $32.36 / $52.48	Professional	26	$19.50	$32.36	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $151.36 / $245.47	Professional	TC	$75.86	$151.36	$245.47
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $61.66 / $117.49	Facility	26	$48.98	$61.66	$117.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $234.42	Professional		$147.91	$147.91	$234.42
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $25.70 / $40.74	Professional	26	$25.70	$25.70	$40.74
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $123.03 / $190.55	Professional	TC	$123.03	$123.03	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $660.69	Professional		$87.10	$154.88	$660.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $42.66 / $95.50	Professional	26	$19.05	$42.66	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $125.89 / $549.54	Professional	TC	$74.13	$125.89	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $295.12	Professional		$93.33	$154.88	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $31.62 / $54.95	Professional	26	$18.62	$31.62	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $125.89 / $245.47	Professional	TC	$74.13	$125.89	$245.47