Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $141.25	Professional		$39.81	$48.98	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $66.07 / $218.78	Professional	26	$25.70	$66.07	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.05 / $74.13	Professional	TC	$14.13	$19.05	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $194.98	Professional		$93.33	$144.54	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $87.10 / $117.49	Professional	26	$56.23	$87.10	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $58.88 / $75.86	Professional	TC	$36.31	$58.88	$75.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $257.04 / $309.03	Facility	26	$53.70	$257.04	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $125.89	Professional		$70.79	$89.13	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $53.70 / $75.86	Professional	26	$42.66	$53.70	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $35.48 / $48.98	Professional	TC	$28.18	$35.48	$48.98
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $239.88 / $239.88	Facility	26	$42.66	$239.88	$239.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $398.11	Professional		$70.79	$70.79	$398.11
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $194.98	Professional	26	$42.66	$42.66	$194.98
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $27.54 / $199.53	Professional	TC	$27.54	$27.54	$199.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $102.33 / $478.63	Professional		$34.67	$102.33	$478.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $97.72 / $147.91	Professional	26	$37.15	$97.72	$147.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $38.02 / $331.13	Professional	TC	$12.02	$38.02	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $107.15 / $190.55	Professional		$46.77	$107.15	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $67.61 / $114.82	Professional	26	$30.20	$67.61	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $38.02 / $70.79	Professional	TC	$16.22	$38.02	$70.79