Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.82 / $30.82 / $30.82	Facility	26	$30.82	$30.82	$30.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $109.15 / $258.08	Professional		$74.44	$109.15	$258.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.27 / $30.82 / $54.07	Professional	26	$21.27	$30.82	$54.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.45 / $65.55 / $144.75	Professional	TC	$55.45	$65.55	$144.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.11 / $264.76 / $392.42	Professional		$156.11	$264.76	$392.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $75.87 / $116.90	Professional	26	$49.98	$75.87	$116.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.31 / $199.37 / $291.02	Professional	TC	$126.31	$199.37	$291.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.14 / $230.23 / $275.83	Facility	26	$53.14	$230.23	$275.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $183.20 / $232.03	Professional		$145.69	$183.20	$232.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.26 / $53.13 / $67.30	Professional	26	$42.26	$53.13	$67.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.44 / $130.06 / $164.74	Professional	TC	$103.44	$130.06	$164.74
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $41.84 / $217.20 / $217.20	Facility	26	$41.84	$217.20	$217.20
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $144.25 / $206.38	Professional		$144.25	$144.25	$206.38
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.84 / $41.84 / $59.86	Professional	26	$41.84	$41.84	$59.86
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $102.41 / $102.41 / $146.52	Professional	TC	$102.41	$102.41	$146.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $256.47 / $256.47 / $256.47	Facility	26	$256.47	$256.47	$256.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $194.62 / $1,210.67	Professional		$85.50	$194.62	$1,210.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.83 / $68.72 / $360.79	Professional	26	$28.83	$68.72	$360.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.67 / $136.71 / $914.18	Professional	TC	$56.67	$136.71	$914.18
United Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $194.62 / $302.38	Professional		$86.50	$194.62	$302.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.87 / $39.90 / $93.84	Professional	26	$28.87	$39.90	$93.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.56 / $129.51 / $208.54	Professional	TC	$57.56	$129.51	$208.54