Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.43 / $40.43 / $40.43	Facility	26	$40.43	$40.43	$40.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $90.18 / $113.24	Professional		$63.52	$90.18	$113.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $54.94 / $162.63	Professional	26	$27.96	$54.94	$162.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.60 / $72.81 / $571.69	Professional	TC	$51.60	$72.81	$571.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.37 / $282.94 / $435.94	Professional		$186.37	$282.94	$435.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.28 / $100.16 / $153.43	Professional	26	$63.28	$100.16	$153.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.78 / $194.14 / $282.51	Professional	TC	$120.78	$194.14	$282.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.73 / $302.18 / $362.05	Facility	26	$69.73	$302.18	$362.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $194.82 / $246.75	Professional		$154.94	$194.82	$246.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.02 / $69.18 / $87.63	Professional	26	$55.02	$69.18	$87.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.92 / $125.64 / $159.13	Professional	TC	$99.92	$125.64	$159.13
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $54.91 / $285.08 / $285.08	Facility	26	$54.91	$285.08	$285.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $153.40 / $219.47	Professional		$153.40	$153.40	$219.47
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.48 / $54.48 / $77.94	Professional	26	$54.48	$54.48	$77.94
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $98.93 / $98.93 / $141.53	Professional	TC	$98.93	$98.93	$141.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $237.42 / $237.42 / $237.42	Facility	26	$237.42	$237.42	$237.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $274.02 / $881.27	Professional		$119.28	$274.02	$881.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.47 / $119.30 / $342.38	Professional	26	$46.47	$119.30	$342.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $76.23 / $174.31 / $549.40	Professional	TC	$76.23	$174.31	$549.40
United Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $246.34 / $339.34	Professional		$119.28	$246.34	$339.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $92.74 / $122.29	Professional	26	$43.04	$92.74	$122.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.70 / $174.31 / $256.47	Professional	TC	$77.70	$174.31	$256.47