Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Facility	26	$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $371.54	Professional		$83.18	$138.04	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $269.15	Professional	26	$70.79	$93.33	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $61.66	Professional	TC	$19.05	$26.92	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $398.11	Professional		$190.55	$295.12	$398.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $218.78 / $295.12	Professional	26	$141.25	$218.78	$295.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $81.28 / $104.71	Professional	TC	$48.98	$81.28	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $645.65 / $776.25	Facility	26	$144.54	$645.65	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $245.47	Professional		$154.88	$194.98	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $144.54 / $181.97	Professional	26	$114.82	$144.54	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $50.12 / $66.07	Professional	TC	$39.81	$50.12	$66.07
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $602.56 / $602.56	Facility	26	$112.20	$602.56	$602.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $380.19	Professional		$151.36	$151.36	$380.19
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $112.20 / $239.88	Professional	26	$112.20	$112.20	$239.88
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $39.81 / $138.04	Professional	TC	$39.81	$39.81	$138.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	26	$389.05	$389.05	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.42 / $741.31	Professional		$85.11	$234.42	$741.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $177.83 / $537.03	Professional	26	$54.95	$177.83	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $52.48 / $338.84	Professional	TC	$15.85	$52.48	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $389.05	Professional		$104.71	$234.42	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $165.96 / $288.40	Professional	26	$72.44	$165.96	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $56.23 / $97.72	Professional	TC	$26.92	$56.23	$97.72