Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.47 / $33.47 / $223.98	Facility	26	$33.47	$33.47	$223.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $190.17 / $2,143.19	Professional		$62.40	$190.17	$2,143.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.13 / $210.66 / $1,049.75	Professional	26	$31.13	$210.66	$1,049.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.30 / $35.34 / $197.51	Professional	TC	$31.30	$35.34	$197.51
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $27.92 / $27.92	Facility	26	$27.92	$27.92	$27.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $156.49 / $232.27	Professional		$86.42	$156.49	$232.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.26 / $80.79 / $113.79	Professional	26	$54.26	$80.79	$113.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.46 / $88.64 / $118.48	Professional	TC	$56.46	$88.64	$118.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.86 / $114.67 / $275.83	Facility	26	$80.86	$114.67	$275.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $130.19 / $215.23	Professional		$103.54	$130.19	$215.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $63.16 / $104.42	Professional	26	$50.23	$63.16	$104.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.31 / $67.03 / $110.81	Professional	TC	$53.31	$67.03	$110.81
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $63.67 / $104.83 / $217.20	Facility	26	$63.67	$104.83	$217.20
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $108.15 / $188.32	Professional		$102.52	$108.15	$188.32
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $49.74 / $52.47 / $91.36	Professional	26	$49.74	$52.47	$91.36
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $52.78 / $55.68 / $96.96	Professional	TC	$52.78	$55.68	$96.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.42 / $154.27 / $468.00	Professional		$81.42	$154.27	$468.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.27 / $85.71 / $213.24	Professional	26	$40.27	$85.71	$213.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.15 / $66.75 / $130.22	Professional	TC	$41.15	$66.75	$130.22
United Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $124.25 / $225.89	Professional		$79.09	$124.25	$225.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.75 / $61.26 / $106.70	Professional	26	$38.75	$61.26	$106.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.34 / $63.23 / $113.03	Professional	TC	$40.34	$63.23	$113.03