Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	26	$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $131.83	Professional		$52.48	$67.61	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.88 / $70.79	Professional	26	$16.98	$21.88	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $46.77 / $87.10	Professional	TC	$34.67	$46.77	$87.10
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $17.78 / $17.78	Facility	26	$15.49	$17.78	$17.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $234.42	Professional		$107.15	$158.49	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $50.12 / $74.13	Professional	26	$33.88	$50.12	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $112.20 / $162.18	Professional	TC	$74.13	$112.20	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $66.07 / $181.97	Facility	26	$16.98	$66.07	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $204.17	Professional		$69.18	$125.89	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.90 / $63.10	Professional	26	$23.44	$38.90	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $85.11 / $141.25	Professional	TC	$46.77	$85.11	$141.25
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $74.13 / $144.54	Facility	26	$58.88	$74.13	$144.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $154.88	Professional		$100.00	$100.00	$154.88
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $30.90 / $48.98	Professional	26	$30.90	$30.90	$48.98
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $69.18 / $107.15	Professional	TC	$69.18	$69.18	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $416.87	Professional		$61.66	$107.15	$416.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $38.90 / $131.83	Professional	26	$22.39	$38.90	$131.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $70.79 / $288.40	Professional	TC	$41.69	$70.79	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $199.53	Professional		$63.10	$109.65	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $38.02 / $64.57	Professional	26	$21.88	$38.02	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $72.44 / $134.90	Professional	TC	$41.69	$72.44	$134.90