Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.69 / $26.69 / $26.69	Facility	26	$26.69	$26.69	$26.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $392.56 / $605.20	Professional		$67.58	$392.56	$605.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.09 / $60.48 / $1,359.45	Professional	26	$21.09	$60.48	$1,359.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.58 / $85.15 / $169.08	Professional	TC	$44.58	$85.15	$169.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $270.29 / $416.45	Professional		$159.31	$270.29	$416.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.73 / $66.39 / $98.40	Professional	26	$43.73	$66.39	$98.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.03 / $215.22 / $314.17	Professional	TC	$125.03	$215.22	$314.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.49 / $201.45 / $241.36	Facility	26	$46.49	$201.45	$241.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $185.96 / $235.54	Professional		$147.88	$185.96	$235.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.97 / $46.49 / $58.88	Professional	26	$36.97	$46.49	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.92 / $139.47 / $176.65	Professional	TC	$110.92	$139.47	$176.65
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $36.61 / $190.05 / $190.05	Facility	26	$36.61	$190.05	$190.05
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $146.43 / $209.50	Professional		$146.43	$146.43	$209.50
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $36.61 / $52.37	Professional	26	$36.61	$36.61	$52.37
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $109.82 / $109.82 / $157.12	Professional	TC	$109.82	$109.82	$157.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $127.16 / $127.16 / $127.16	Facility	26	$127.16	$127.16	$127.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $148.26 / $376.06	Professional		$59.30	$148.26	$376.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.19 / $87.93 / $151.05	Professional	26	$30.19	$87.93	$151.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.32 / $88.30 / $382.51	Professional	TC	$38.32	$88.30	$382.51
United Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $121.84 / $247.39	Professional		$59.30	$121.84	$247.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.98 / $54.09 / $84.70	Professional	26	$23.98	$54.09	$84.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.32 / $80.73 / $213.40	Professional	TC	$38.32	$80.73	$213.40