Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.49 / $31.49 / $31.49	Facility	26	$31.49	$31.49	$31.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $131.24 / $232.80	Professional		$93.46	$131.24	$232.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.44 / $31.49 / $120.60	Professional	26	$24.44	$31.49	$120.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.22 / $91.16 / $275.89	Professional	TC	$67.22	$91.16	$275.89
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.34 / $36.34 / $36.34	Facility	26	$36.34	$36.34	$36.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.29 / $275.08 / $446.76	Professional		$169.29	$275.08	$446.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.87 / $66.95 / $109.46	Professional	26	$42.87	$66.95	$109.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.97 / $219.11 / $337.30	Professional	TC	$137.97	$219.11	$337.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.78 / $117.05 / $281.58	Facility	26	$69.78	$117.05	$281.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $217.51 / $255.86	Professional		$172.98	$217.51	$255.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.14 / $53.39 / $61.61	Professional	26	$43.14	$53.39	$61.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.85 / $163.27 / $194.25	Professional	TC	$129.85	$163.27	$194.25
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $64.98 / $107.02 / $221.73	Facility	26	$64.98	$107.02	$221.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $171.27 / $171.27 / $245.04	Professional		$171.27	$171.27	$245.04
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $42.71 / $42.71 / $61.10	Professional	26	$42.71	$42.71	$61.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $128.56 / $128.56 / $183.93	Professional	TC	$128.56	$128.56	$183.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $148.36 / $148.36 / $148.36	Facility	26	$148.36	$148.36	$148.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $141.30 / $486.90	Professional		$84.23	$141.30	$486.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $67.18 / $167.85	Professional	26	$21.65	$67.18	$167.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.58 / $105.32 / $361.73	Professional	TC	$62.58	$105.32	$361.73
United Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $156.82 / $445.87	Professional		$84.23	$156.82	$445.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $36.09 / $109.55	Professional	26	$21.65	$36.09	$109.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.58 / $105.32 / $273.94	Professional	TC	$62.58	$105.32	$273.94