Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.50 / $23.50 / $23.50	Facility	26	$23.50	$23.50	$23.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $55.18 / $73.37	Professional		$48.50	$55.18	$73.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $21.91 / $23.50	Professional	26	$16.14	$21.91	$23.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.19 / $37.86 / $49.87	Professional	TC	$30.19	$37.86	$49.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $192.84 / $285.82	Professional		$120.30	$192.84	$285.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.00 / $57.70 / $88.89	Professional	26	$38.00	$57.70	$88.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.98 / $142.65 / $208.23	Professional	TC	$84.98	$142.65	$208.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.29 / $175.07 / $209.76	Facility	26	$38.29	$175.07	$209.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $133.75 / $186.21	Professional		$106.37	$133.75	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $38.81 / $54.04	Professional	26	$30.87	$38.81	$54.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.50 / $94.94 / $132.18	Professional	TC	$75.50	$94.94	$132.18
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.15 / $165.16 / $165.16	Facility	26	$30.15	$165.16	$165.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $105.32 / $154.66	Professional		$105.32	$105.32	$154.66
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.56 / $30.56 / $44.88	Professional	26	$30.56	$30.56	$44.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $74.75 / $74.75 / $109.78	Professional	TC	$74.75	$74.75	$109.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.04 / $112.04 / $112.04	Facility	26	$112.04	$112.04	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $132.13 / $466.08	Professional		$52.77	$132.13	$466.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.79 / $49.57 / $186.58	Professional	26	$20.79	$49.57	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.98 / $80.06 / $309.75	Professional	TC	$31.98	$80.06	$309.75
United Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $118.44 / $201.99	Professional		$52.86	$118.44	$201.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.84 / $29.43 / $69.20	Professional	26	$20.84	$29.43	$69.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $72.09 / $150.16	Professional	TC	$32.47	$72.09	$150.16