Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.83 / $46.83 / $46.83	Facility	26	$46.83	$46.83	$46.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $66.86 / $151.47	Professional		$55.57	$66.86	$151.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $46.83 / $231.00	Professional	26	$37.99	$46.83	$231.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.45 / $20.03 / $28.11	Professional	TC	$15.45	$20.03	$28.11
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $39.45 / $39.45 / $39.45	Facility	26	$39.45	$39.45	$39.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $161.46 / $228.75	Professional		$107.97	$161.46	$228.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.18 / $113.44 / $160.71	Professional	26	$76.18	$113.44	$160.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.79 / $50.90 / $68.04	Professional	TC	$31.79	$50.90	$68.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.71 / $161.25 / $387.91	Facility	26	$113.71	$161.25	$387.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $125.68 / $207.77	Professional		$99.95	$125.68	$207.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.22 / $88.30 / $145.97	Professional	26	$70.22	$88.30	$145.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.73 / $37.38 / $61.80	Professional	TC	$29.73	$37.38	$61.80
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $89.53 / $147.41 / $305.44	Facility	26	$89.53	$147.41	$305.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $104.40 / $181.80	Professional		$98.96	$104.40	$181.80
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $69.53 / $73.34 / $127.72	Professional	26	$69.53	$73.34	$127.72
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.44 / $31.05 / $54.07	Professional	TC	$29.44	$31.05	$54.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $121.16 / $248.95	Professional		$78.48	$121.16	$248.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.31 / $86.19 / $176.70	Professional	26	$55.31	$86.19	$176.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $36.07 / $72.25	Professional	TC	$22.94	$36.07	$72.25
United Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $122.84 / $235.47	Professional		$77.89	$122.84	$235.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $93.44 / $157.41	Professional	26	$54.56	$93.44	$157.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $35.01 / $63.65	Professional	TC	$22.94	$35.01	$63.65