Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.09 / $33.09 / $33.09	Facility	26	$33.09	$33.09	$33.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $140.00 / $230.00	Professional		$89.68	$140.00	$230.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $33.09 / $152.94	Professional	26	$17.05	$33.09	$152.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.49 / $76.89 / $206.54	Professional	TC	$51.49	$76.89	$206.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.08 / $355.65 / $547.97	Professional		$208.08	$355.65	$547.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.14 / $82.20 / $126.64	Professional	26	$54.14	$82.20	$126.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $157.06 / $288.63 / $421.32	Professional	TC	$157.06	$288.63	$421.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.56 / $249.42 / $298.83	Facility	26	$57.56	$249.42	$298.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.67 / $243.53 / $308.44	Professional		$193.67	$243.53	$308.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.78 / $57.56 / $72.90	Professional	26	$45.78	$57.56	$72.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.88 / $185.96 / $235.54	Professional	TC	$147.88	$185.96	$235.54
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $45.32 / $235.30 / $235.30	Facility	26	$45.32	$235.30	$235.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $191.75 / $191.75 / $274.33	Professional		$191.75	$191.75	$274.33
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.32 / $45.32 / $64.84	Professional	26	$45.32	$45.32	$64.84
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $146.43 / $146.43 / $209.50	Professional	TC	$146.43	$146.43	$209.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.52 / $173.52 / $173.52	Facility	26	$173.52	$173.52	$173.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $192.90 / $973.09	Professional		$77.09	$192.90	$973.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.43 / $118.47 / $152.38	Professional	26	$37.43	$118.47	$152.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.57 / $116.94 / $750.23	Professional	TC	$54.57	$116.94	$750.23
United Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $173.61 / $366.05	Professional		$77.09	$173.61	$366.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.30 / $68.36 / $92.70	Professional	26	$30.30	$68.36	$92.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.57 / $177.05 / $342.00	Professional	TC	$54.57	$177.05	$342.00