Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.52 / $30.52 / $30.52	Facility	26	$30.52	$30.52	$30.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $87.83 / $235.96	Professional		$73.84	$87.83	$235.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.50 / $24.32 / $51.69	Professional	26	$21.50	$24.32	$51.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.72 / $64.09 / $184.26	Professional	TC	$57.72	$64.09	$184.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.14 / $304.27 / $468.81	Professional		$187.14	$304.27	$468.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.50 / $76.59 / $109.98	Professional	26	$50.50	$76.59	$109.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.88 / $240.25 / $350.70	Professional	TC	$139.88	$240.25	$350.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.68 / $232.63 / $278.72	Facility	26	$53.68	$232.63	$278.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.18 / $220.28 / $279.00	Professional		$175.18	$220.28	$279.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.58 / $54.79 / $69.40	Professional	26	$43.58	$54.79	$69.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.61 / $165.49 / $209.60	Professional	TC	$131.61	$165.49	$209.60
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.27 / $219.46 / $219.46	Facility	26	$42.27	$219.46	$219.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $173.45 / $248.15	Professional		$173.45	$173.45	$248.15
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $43.14 / $43.14 / $61.73	Professional	26	$43.14	$43.14	$61.73
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $130.30 / $130.30 / $186.43	Professional	TC	$130.30	$130.30	$186.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.85 / $149.85 / $149.85	Facility	26	$149.85	$149.85	$149.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $196.61 / $473.32	Professional		$86.36	$196.61	$473.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $66.54 / $171.14	Professional	26	$26.53	$66.54	$171.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $59.83 / $136.72 / $335.59	Professional	TC	$59.83	$136.72	$335.59
United Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $194.02 / $306.17	Professional		$86.45	$194.02	$306.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.62 / $37.89 / $83.78	Professional	26	$26.62	$37.89	$83.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.88 / $134.91 / $217.08	Professional	TC	$59.88	$134.91	$217.08