Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.82 / $23.82 / $23.82	Facility	26	$23.82	$23.82	$23.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $52.89 / $71.73	Professional		$50.52	$52.89	$71.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $23.82 / $62.84	Professional	26	$18.82	$23.82	$62.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.70 / $36.52 / $109.46	Professional	TC	$31.70	$36.52	$109.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.55 / $188.89 / $291.02	Professional		$126.55	$188.89	$291.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.52 / $58.49 / $90.11	Professional	26	$38.52	$58.49	$90.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.90 / $137.63 / $200.92	Professional	TC	$85.90	$137.63	$200.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.81 / $177.47 / $212.63	Facility	26	$38.81	$177.47	$212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $132.69 / $184.75	Professional		$105.53	$132.69	$184.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.28 / $39.34 / $54.77	Professional	26	$31.28	$39.34	$54.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.25 / $93.36 / $129.97	Professional	TC	$74.25	$93.36	$129.97
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.56 / $167.43 / $167.43	Facility	26	$30.56	$167.43	$167.43
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $104.49 / $153.44	Professional		$104.49	$104.49	$153.44
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.98 / $30.98 / $45.49	Professional	26	$30.98	$30.98	$45.49
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $73.51 / $73.51 / $107.96	Professional	TC	$73.51	$73.51	$107.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.54 / $113.54 / $113.54	Facility	26	$113.54	$113.54	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $141.22 / $453.03	Professional		$58.51	$141.22	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $52.70 / $158.49	Professional	26	$21.65	$52.70	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $88.92 / $300.38	Professional	TC	$36.86	$88.92	$300.38
United Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $87.05 / $190.53	Professional		$58.60	$87.05	$190.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $48.92 / $71.09	Professional	26	$21.69	$48.92	$71.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.90 / $84.24 / $131.86	Professional	TC	$36.90	$84.24	$131.86