Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.28 / $21.28 / $21.28	Facility	26	$21.28	$21.28	$21.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $67.64 / $98.61	Professional		$53.96	$67.64	$98.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.70 / $21.28 / $31.76	Professional	26	$17.70	$21.28	$31.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $46.02 / $66.03	Professional	TC	$35.56	$46.02	$66.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.27 / $17.27 / $17.27	Facility	26	$17.27	$17.27	$17.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $189.58 / $229.93	Professional		$114.14	$189.58	$229.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.11 / $59.97 / $72.73	Professional	26	$36.11	$59.97	$72.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.05 / $129.61 / $157.19	Professional	TC	$89.05	$129.61	$157.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.07 / $71.27 / $175.28	Facility	26	$42.07	$71.27	$175.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $126.97 / $212.54	Professional		$71.43	$126.97	$212.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.60 / $39.32 / $66.34	Professional	26	$23.60	$39.32	$66.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.62 / $87.66 / $146.72	Professional	TC	$47.62	$87.66	$146.72
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $37.47 / $64.23 / $138.01	Facility	26	$37.47	$64.23	$138.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $118.34 / $201.83	Professional		$99.98	$118.34	$201.83
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.96 / $36.64 / $62.49	Professional	26	$30.96	$36.64	$62.49
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $69.02 / $81.70 / $139.33	Professional	TC	$69.02	$81.70	$139.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $117.25 / $420.07	Professional		$64.23	$117.25	$420.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $40.57 / $132.09	Professional	26	$22.74	$40.57	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $76.34 / $288.04	Professional	TC	$41.50	$76.34	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $118.25 / $206.72	Professional		$64.23	$118.25	$206.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $37.10 / $69.33	Professional	26	$22.32	$37.10	$69.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $74.03 / $128.50	Professional	TC	$41.50	$74.03	$128.50