Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.40 / $51.40 / $51.40	Facility	26	$51.40	$51.40	$51.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $97.75 / $264.64	Professional		$79.50	$97.75	$264.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $51.40 / $238.00	Professional	26	$40.96	$51.40	$238.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.85 / $54.64 / $77.38	Professional	TC	$35.85	$54.64	$77.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.90 / $42.90 / $42.90	Facility	26	$42.90	$42.90	$42.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $230.69 / $331.99	Professional		$156.75	$230.69	$331.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.76 / $124.09 / $174.79	Professional	26	$82.76	$124.09	$174.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.98 / $117.60 / $157.19	Professional	TC	$73.98	$117.60	$157.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.81 / $175.58 / $422.39	Facility	26	$123.81	$175.58	$422.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $184.33 / $311.10	Professional		$146.60	$184.33	$311.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.37 / $96.03 / $158.76	Professional	26	$76.37	$96.03	$158.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.22 / $88.30 / $149.02	Professional	TC	$70.22	$88.30	$149.02
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $97.49 / $160.52 / $332.59	Facility	26	$97.49	$160.52	$332.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $153.12 / $266.64	Professional		$145.15	$153.12	$266.64
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $75.62 / $79.77 / $138.91	Professional	26	$75.62	$79.77	$138.91
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $69.53 / $73.34 / $127.72	Professional	TC	$69.53	$73.34	$127.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $191.05 / $362.95	Professional		$116.06	$191.05	$362.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.63 / $99.18 / $194.08	Professional	26	$61.63	$99.18	$194.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.26 / $88.40 / $215.15	Professional	TC	$53.26	$88.40	$215.15
United Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $176.38 / $322.01	Professional		$113.04	$176.38	$322.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.51 / $93.36 / $174.22	Professional	26	$59.51	$93.36	$174.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.26 / $83.26 / $158.30	Professional	TC	$53.26	$83.26	$158.30