Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.85 / $14.85 / $14.85	Facility	26	$14.85	$14.85	$14.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $53.76 / $96.43	Professional		$43.35	$53.76	$96.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $14.85 / $81.00	Professional	26	$12.28	$14.85	$81.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.94 / $38.79 / $55.55	Professional	TC	$29.94	$38.79	$55.55
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.80 / $11.80 / $11.80	Facility	26	$11.80	$11.80	$11.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $154.76 / $187.70	Professional		$94.34	$154.76	$187.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.45 / $40.61 / $49.27	Professional	26	$24.45	$40.61	$49.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.97 / $114.14 / $138.43	Professional	TC	$79.97	$114.14	$138.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.38 / $48.97 / $117.81	Facility	26	$31.38	$48.97	$117.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $105.06 / $175.86	Professional		$62.83	$105.06	$175.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $26.43 / $44.23	Professional	26	$16.82	$26.43	$44.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.73 / $78.63 / $131.62	Professional	TC	$44.73	$78.63	$131.62
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.19 / $43.18 / $92.76	Facility	26	$27.19	$43.18	$92.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $97.91 / $166.99	Professional		$82.72	$97.91	$166.99
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.81 / $24.63 / $42.00	Professional	26	$20.81	$24.63	$42.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $61.92 / $73.29 / $124.99	Professional	TC	$61.92	$73.29	$124.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $99.24 / $325.58	Professional		$54.13	$99.24	$325.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $27.62 / $91.83	Professional	26	$15.16	$27.62	$91.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.97 / $71.69 / $233.75	Professional	TC	$38.97	$71.69	$233.75
United Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $90.74 / $165.03	Professional		$54.13	$90.74	$165.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.89 / $25.45 / $47.95	Professional	26	$14.89	$25.45	$47.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.97 / $66.11 / $118.81	Professional	TC	$38.97	$66.11	$118.81