Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $107.15	Professional		$52.48	$66.07	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $75.86	Professional	26	$18.20	$20.89	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $44.67 / $79.43	Professional	TC	$31.62	$44.67	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $288.40	Professional		$138.04	$213.80	$288.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $63.10 / $85.11	Professional	26	$40.74	$63.10	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $158.49 / $218.78	Professional	TC	$97.72	$158.49	$218.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $181.97 / $218.78	Facility	26	$38.90	$181.97	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $186.21	Professional		$107.15	$134.90	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.90 / $54.95	Professional	26	$30.90	$38.90	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $95.50 / $131.83	Professional	TC	$75.86	$95.50	$131.83
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $173.78 / $173.78	Facility	26	$30.90	$173.78	$173.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $398.11	Professional		$104.71	$104.71	$398.11
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $30.90 / $194.98	Professional	26	$30.90	$30.90	$194.98
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $74.13 / $199.53	Professional	TC	$74.13	$74.13	$199.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $120.23 / $467.74	Professional		$41.69	$120.23	$467.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $48.98 / $186.21	Professional	26	$15.85	$48.98	$186.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $72.44 / $309.03	Professional	TC	$25.70	$72.44	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $131.83 / $257.04	Professional		$53.70	$131.83	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $47.86 / $83.18	Professional	26	$20.89	$47.86	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $79.43 / $177.83	Professional	TC	$32.36	$79.43	$177.83