Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.50 / $40.50 / $40.50	Facility	26	$40.50	$40.50	$40.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $142.69 / $199.24	Professional		$52.52	$142.69	$199.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $40.50 / $59.51	Professional	26	$34.61	$40.50	$59.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $78.66 / $146.37	Professional	TC	$16.03	$78.66	$146.37
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.97 / $33.97 / $33.97	Facility	26	$33.97	$33.97	$33.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.26 / $337.13 / $482.14	Professional		$225.26	$337.13	$482.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.77 / $95.97 / $137.25	Professional	26	$65.77	$95.97	$137.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.49 / $258.01 / $344.89	Professional	TC	$159.49	$258.01	$344.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.70 / $138.55 / $333.31	Facility	26	$97.70	$138.55	$333.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $268.12 / $435.74	Professional		$213.23	$268.12	$435.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.00 / $76.70 / $126.79	Professional	26	$61.00	$76.70	$126.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.22 / $191.42 / $309.37	Professional	TC	$152.22	$191.42	$309.37
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $76.93 / $126.67 / $262.45	Facility	26	$76.93	$126.67	$262.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $211.12 / $222.73 / $387.83	Professional		$211.12	$222.73	$387.83
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $63.71 / $110.94	Professional	26	$60.39	$63.71	$110.94
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $150.72 / $159.01 / $276.89	Professional	TC	$150.72	$159.01	$276.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $219.56 / $465.81	Professional		$123.07	$219.56	$465.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.94 / $80.44 / $209.91	Professional	26	$48.94	$80.44	$209.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.42 / $146.81 / $313.75	Professional	TC	$77.42	$146.81	$313.75
United Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $194.94 / $440.60	Professional		$123.07	$194.94	$440.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.74 / $74.19 / $132.33	Professional	26	$46.74	$74.19	$132.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.11 / $130.84 / $276.77	Professional	TC	$77.11	$130.84	$276.77