Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.34 / $23.34 / $23.34	Facility	26	$23.34	$23.34	$23.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $52.42 / $65.87	Professional		$45.14	$52.42	$65.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.28 / $19.32 / $23.34	Professional	26	$16.28	$19.32	$23.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.86 / $34.59 / $42.52	Professional	TC	$28.86	$34.59	$42.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $160.44 / $247.19	Professional		$99.72	$160.44	$247.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.00 / $57.70 / $88.89	Professional	26	$38.00	$57.70	$88.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.68 / $108.78 / $158.30	Professional	TC	$67.68	$108.78	$158.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.40 / $175.07 / $209.76	Facility	26	$40.40	$175.07	$209.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $110.14 / $139.50	Professional		$87.59	$110.14	$139.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $40.40 / $51.17	Professional	26	$32.13	$40.40	$51.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.46 / $69.73 / $88.33	Professional	TC	$55.46	$69.73	$88.33
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $31.81 / $165.16 / $165.16	Facility	26	$31.81	$165.16	$165.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $86.72 / $124.08	Professional		$86.72	$86.72	$124.08
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.81 / $31.81 / $45.52	Professional	26	$31.81	$31.81	$45.52
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $54.91 / $54.91 / $78.56	Professional	TC	$54.91	$54.91	$78.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.49 / $110.49 / $110.49	Facility	26	$110.49	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $145.33 / $304.81	Professional		$63.85	$145.33	$304.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.79 / $51.48 / $112.84	Professional	26	$22.79	$51.48	$112.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.06 / $93.85 / $191.97	Professional	TC	$41.06	$93.85	$191.97
United Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $143.41 / $260.36	Professional		$64.59	$143.41	$260.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.88 / $50.80 / $68.64	Professional	26	$22.88	$50.80	$68.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.06 / $56.73 / $124.18	Professional	TC	$41.06	$56.73	$124.18