Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.26 / $57.26 / $57.26	Facility	26	$57.26	$57.26	$57.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $88.20 / $153.16	Professional		$60.70	$88.20	$153.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.31 / $57.26 / $225.00	Professional	26	$45.31	$57.26	$225.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $30.94 / $58.83	Professional	TC	$18.55	$30.94	$58.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $216.55 / $333.65	Professional		$138.19	$216.55	$333.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.49 / $140.68 / $216.75	Professional	26	$97.49	$140.68	$216.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.35 / $80.08 / $116.90	Professional	TC	$48.35	$80.08	$116.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.51 / $426.89 / $511.46	Facility	26	$98.51	$426.89	$511.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $151.65 / $192.07	Professional		$120.60	$151.65	$192.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.79 / $99.07 / $125.48	Professional	26	$78.79	$99.07	$125.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.82 / $52.58 / $66.59	Professional	TC	$41.82	$52.58	$66.59
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $77.56 / $402.73 / $402.73	Facility	26	$77.56	$402.73	$402.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $119.41 / $170.84	Professional		$119.41	$119.41	$170.84
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $78.01 / $78.01 / $111.61	Professional	26	$78.01	$78.01	$111.61
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $41.40 / $41.40 / $59.23	Professional	TC	$41.40	$41.40	$59.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $270.97 / $270.97 / $270.97	Facility	26	$270.97	$270.97	$270.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $171.59 / $587.10	Professional		$75.68	$171.59	$587.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.11 / $169.03 / $310.50	Professional	26	$65.11	$169.03	$310.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.09 / $52.72 / $205.55	Professional	TC	$23.09	$52.72	$205.55
United Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $171.59 / $241.71	Professional		$76.26	$171.59	$241.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.83 / $118.87 / $189.43	Professional	26	$52.83	$118.87	$189.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.43 / $52.00 / $71.22	Professional	TC	$23.43	$52.00	$71.22