Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.73 / $23.73 / $23.73	Facility	26	$23.73	$23.73	$23.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $235.09 / $1,127.82	Professional		$191.53	$235.09	$1,127.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $23.73 / $110.20	Professional	26	$20.60	$23.73	$110.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.63 / $211.37 / $358.87	Professional	TC	$159.63	$211.37	$358.87
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.29 / $19.29 / $19.29	Facility	26	$19.29	$19.29	$19.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.32 / $533.84 / $766.03	Professional		$351.32	$533.84	$766.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.82 / $55.60 / $79.77	Professional	26	$37.82	$55.60	$79.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $313.50 / $513.40 / $686.26	Professional	TC	$313.50	$513.40	$686.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.43 / $80.03 / $192.52	Facility	26	$56.43	$80.03	$192.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $419.59 / $641.33	Professional		$333.69	$419.59	$641.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.86 / $43.83 / $66.98	Professional	26	$34.86	$43.83	$66.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $298.83 / $375.76 / $574.34	Professional	TC	$298.83	$375.76	$574.34
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $44.43 / $73.16 / $151.59	Facility	26	$44.43	$73.16	$151.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $330.38 / $330.38 / $599.25	Professional		$330.38	$330.38	$599.25
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.51 / $34.51 / $62.59	Professional	26	$34.51	$34.51	$62.59
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $295.87 / $295.87 / $536.65	Professional	TC	$295.87	$295.87	$536.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.83 / $455.06 / $824.23	Professional		$270.83	$455.06	$824.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.36 / $44.77 / $82.90	Professional	26	$27.36	$44.77	$82.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $242.77 / $409.83 / $741.33	Professional	TC	$242.77	$409.83	$741.33
United Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $455.06 / $754.80	Professional		$260.83	$455.06	$754.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.36 / $46.24 / $75.92	Professional	26	$27.36	$46.24	$75.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.67 / $400.81 / $678.88	Professional	TC	$233.67	$400.81	$678.88