Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.98 / $18.98 / $18.98	Facility	26	$18.98	$18.98	$18.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $140.50 / $514.12	Professional		$64.92	$140.50	$514.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $16.04 / $18.98	Professional	26	$13.02	$16.04	$18.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.89 / $52.67 / $67.94	Professional	TC	$45.89	$52.67	$67.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.53 / $210.23 / $323.91	Professional		$140.53	$210.23	$323.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.72 / $46.63 / $71.84	Professional	26	$30.72	$46.63	$71.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.73 / $172.68 / $242.48	Professional	TC	$100.73	$172.68	$242.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.11 / $139.10 / $166.66	Facility	26	$32.11	$139.10	$166.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $143.90 / $182.26	Professional		$114.44	$143.90	$182.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.09 / $31.55 / $39.96	Professional	26	$25.09	$31.55	$39.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.35 / $112.35 / $142.30	Professional	TC	$89.35	$112.35	$142.30
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.28 / $131.22 / $131.22	Facility	26	$25.28	$131.22	$131.22
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $113.31 / $162.11	Professional		$113.31	$113.31	$162.11
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $24.84 / $24.84 / $35.54	Professional	26	$24.84	$24.84	$35.54
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $88.47 / $88.47 / $126.57	Professional	TC	$88.47	$88.47	$126.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $151.69 / $626.79	Professional		$63.10	$151.69	$626.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $44.97 / $171.71	Professional	26	$18.48	$44.97	$171.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.25 / $111.64 / $496.32	Professional	TC	$45.25	$111.64	$496.32
United Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $141.82 / $258.76	Professional		$63.19	$141.82	$258.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $41.21 / $60.67	Professional	26	$18.54	$41.21	$60.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.25 / $101.95 / $227.96	Professional	TC	$45.25	$101.95	$227.96