Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.52 / $38.52 / $38.52	Facility	26	$38.52	$38.52	$38.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $136.43 / $267.56	Professional		$93.33	$136.43	$267.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.19 / $38.52 / $55.08	Professional	26	$30.19	$38.52	$55.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.15 / $97.91 / $203.38	Professional	TC	$63.15	$97.91	$203.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.27 / $350.91 / $540.66	Professional		$226.27	$350.91	$540.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.51 / $96.42 / $148.56	Professional	26	$63.51	$96.42	$148.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.68 / $268.61 / $392.10	Professional	TC	$154.68	$268.61	$392.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.53 / $292.58 / $350.55	Facility	26	$67.53	$292.58	$350.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.83 / $251.27 / $318.25	Professional		$199.83	$251.27	$318.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.14 / $68.08 / $86.22	Professional	26	$54.14	$68.08	$86.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.69 / $183.20 / $232.03	Professional	TC	$145.69	$183.20	$232.03
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $53.17 / $276.02 / $276.02	Facility	26	$53.17	$276.02	$276.02
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $197.85 / $283.07	Professional		$197.85	$197.85	$283.07
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.60 / $53.60 / $76.69	Professional	26	$53.60	$53.60	$76.69
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $144.25 / $144.25 / $206.38	Professional	TC	$144.25	$144.25	$206.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $271.50 / $271.50 / $271.50	Facility	26	$271.50	$271.50	$271.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $226.75 / $1,070.24	Professional		$94.40	$226.75	$1,070.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $86.24 / $390.67	Professional	26	$33.75	$86.24	$390.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $60.70 / $146.41 / $793.60	Professional	TC	$60.70	$146.41	$793.60
United Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $160.66 / $351.66	Professional		$94.49	$160.66	$351.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $51.97 / $113.75	Professional	26	$33.75	$51.97	$113.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.74 / $108.70 / $237.91	Professional	TC	$60.74	$108.70	$237.91