Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	26	$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $128.82	Professional		$34.67	$61.66	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.62 / $141.25	Professional	26	$21.88	$31.62	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $23.99 / $70.79	Professional	TC	$12.59	$23.99	$70.79
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $20.89 / $20.89	Facility	26	$18.20	$20.89	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $147.91	Professional		$67.61	$97.72	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $87.10	Professional	26	$39.81	$56.23	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $40.74 / $61.66	Professional	TC	$28.18	$40.74	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $89.13 / $213.80	Facility	26	$63.10	$89.13	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $131.83	Professional		$63.10	$79.43	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $46.77 / $75.86	Professional	26	$37.15	$46.77	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $33.11 / $58.88	Professional	TC	$26.30	$33.11	$58.88
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $87.10 / $165.96	Facility	26	$69.18	$87.10	$165.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $102.33	Professional		$63.10	$63.10	$102.33
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $36.31 / $57.54	Professional	26	$36.31	$36.31	$57.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $25.70 / $42.66	Professional	TC	$25.70	$25.70	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $436.52	Professional		$57.54	$117.49	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $57.54 / $173.78	Professional	26	$28.84	$57.54	$173.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $66.07 / $338.84	Professional	TC	$26.30	$66.07	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $109.65 / $158.49	Professional		$53.70	$109.65	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $44.67 / $79.43	Professional	26	$28.18	$44.67	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $58.88 / $85.11	Professional	TC	$25.70	$58.88	$85.11