Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.72 / $34.72 / $34.72	Facility	26	$34.72	$34.72	$34.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $53.54 / $94.11	Professional		$36.88	$53.54	$94.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.95 / $32.97 / $57.55	Professional	26	$23.95	$32.97	$57.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.63 / $18.82 / $36.54	Professional	TC	$12.63	$18.82	$36.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $131.09 / $194.45	Professional		$79.73	$131.09	$194.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.22 / $85.36 / $131.51	Professional	26	$56.22	$85.36	$131.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.36 / $47.23 / $67.94	Professional	TC	$29.36	$47.23	$67.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.78 / $259.01 / $310.32	Facility	26	$59.78	$259.01	$310.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $92.98 / $117.77	Professional		$73.95	$92.98	$117.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.98 / $60.33 / $76.41	Professional	26	$47.98	$60.33	$76.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $32.65 / $41.36	Professional	TC	$25.97	$32.65	$41.36
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.07 / $244.35 / $244.35	Facility	26	$47.07	$244.35	$244.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $104.75	Professional		$73.20	$73.20	$104.75
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $47.50 / $47.50 / $67.95	Professional	26	$47.50	$47.50	$67.95
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.71 / $25.71 / $36.79	Professional	TC	$25.71	$25.71	$36.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $165.02 / $165.02 / $165.02	Facility	26	$165.02	$165.02	$165.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $112.40 / $353.10	Professional		$47.71	$112.40	$353.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $80.45 / $231.59	Professional	26	$32.19	$80.45	$231.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.61 / $35.65 / $121.51	Professional	TC	$15.61	$35.65	$121.51
United Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $106.77 / $151.65	Professional		$47.85	$106.77	$151.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.24 / $76.56 / $121.41	Professional	26	$32.24	$76.56	$121.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $35.65 / $52.32	Professional	TC	$15.85	$35.65	$52.32