Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.47 / $24.47 / $24.47	Facility	26	$24.47	$24.47	$24.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $69.65 / $196.88	Professional		$35.39	$69.65	$196.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $30.52 / $164.35	Professional	26	$23.48	$30.52	$164.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.62 / $24.69 / $58.75	Professional	TC	$14.62	$24.69	$58.75
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $20.44 / $20.44	Facility	26	$20.44	$20.44	$20.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $96.79 / $138.43	Professional		$67.42	$96.79	$138.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.46 / $59.13 / $83.29	Professional	26	$39.46	$59.13	$83.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.95 / $41.25 / $55.14	Professional	TC	$27.95	$41.25	$55.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.80 / $84.80 / $204.01	Facility	26	$59.80	$84.80	$204.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $79.28 / $133.79	Professional		$63.05	$79.28	$133.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.90 / $46.41 / $76.70	Professional	26	$36.90	$46.41	$76.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.14 / $32.86 / $58.68	Professional	TC	$26.14	$32.86	$58.68
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.09 / $77.53 / $160.63	Facility	26	$47.09	$77.53	$160.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $65.84 / $114.67	Professional		$62.42	$65.84	$114.67
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $38.54 / $67.13	Professional	26	$36.54	$38.54	$67.13
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $27.31 / $47.55	Professional	TC	$25.88	$27.31	$47.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $118.24 / $441.00	Professional		$60.07	$118.24	$441.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.45 / $55.59 / $170.19	Professional	26	$29.45	$55.59	$170.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.58 / $68.36 / $109.91	Professional	TC	$28.58	$68.36	$109.91
United Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $113.29 / $157.57	Professional		$60.45	$113.29	$157.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.36 / $44.55 / $81.70	Professional	26	$28.36	$44.55	$81.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.58 / $62.07 / $85.32	Professional	TC	$28.58	$62.07	$85.32