Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $33.11	Facility	26	$30.90	$30.90	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $331.13	Professional		$87.10	$120.23	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $46.77 / $141.25	Professional	26	$23.99	$46.77	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $87.10 / $263.03	Professional	TC	$61.66	$87.10	$263.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $36.31 / $36.31	Facility	26	$31.62	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $426.58	Professional		$169.82	$263.03	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $67.61 / $107.15	Professional	26	$42.66	$67.61	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $208.93 / $331.13	Professional	TC	$128.82	$208.93	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $123.03 / $295.12	Facility	26	$70.79	$123.03	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $245.47	Professional		$173.78	$213.80	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $53.70 / $61.66	Professional	26	$42.66	$53.70	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $162.18 / $186.21	Professional	TC	$128.82	$162.18	$186.21
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $109.65 / $229.09	Facility	26	$77.62	$109.65	$229.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $239.88	Professional		$169.82	$169.82	$239.88
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $60.26	Professional	26	$42.66	$42.66	$60.26
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $128.82 / $181.97	Professional	TC	$128.82	$128.82	$181.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $575.44	Professional		$85.11	$141.25	$575.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $72.44 / $169.82	Professional	26	$21.88	$72.44	$169.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $104.71 / $380.19	Professional	TC	$63.10	$104.71	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $436.52	Professional		$83.18	$158.49	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $40.74 / $109.65	Professional	26	$21.38	$40.74	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $117.49 / $331.13	Professional	TC	$63.10	$117.49	$331.13