Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.79 / $32.79 / $32.79	Facility	26	$32.79	$32.79	$32.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $49.07 / $70.00	Professional		$36.97	$49.07	$70.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.96 / $32.79 / $147.66	Professional	26	$25.96	$32.79	$147.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.51 / $19.89 / $21.43	Professional	TC	$13.51	$19.89	$21.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $130.97 / $195.62	Professional		$80.68	$130.97	$195.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.14 / $80.61 / $124.21	Professional	26	$52.14	$80.61	$124.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $52.93 / $79.15	Professional	TC	$33.40	$52.93	$79.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.51 / $244.62 / $293.08	Facility	26	$53.51	$244.62	$293.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $89.17 / $124.14	Professional		$70.91	$89.17	$124.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.96 / $54.02 / $75.22	Professional	26	$42.96	$54.02	$75.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.95 / $35.14 / $48.93	Professional	TC	$27.95	$35.14	$48.93
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.13 / $230.78 / $230.78	Facility	26	$42.13	$230.78	$230.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $70.20 / $103.11	Professional		$70.20	$70.20	$103.11
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $42.54 / $42.54 / $62.47	Professional	26	$42.54	$42.54	$62.47
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $27.67 / $27.67 / $40.64	Professional	TC	$27.67	$27.67	$40.64
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $155.94 / $155.94 / $155.94	Facility	26	$155.94	$155.94	$155.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $104.31 / $473.28	Professional		$45.99	$104.31	$473.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.45 / $97.85 / $152.38	Professional	26	$37.45	$97.85	$152.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.90 / $38.24 / $330.22	Professional	TC	$15.90	$38.24	$330.22
United Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $68.42 / $149.76	Professional		$46.12	$68.42	$149.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $45.04 / $98.57	Professional	26	$22.52	$45.04	$98.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.14 / $35.84 / $56.52	Professional	TC	$16.14	$35.84	$56.52