Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.86 / $21.86 / $21.86	Facility	26	$21.86	$21.86	$21.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $184.02 / $235.55	Professional		$92.16	$184.02	$235.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $21.86 / $164.35	Professional	26	$17.51	$21.86	$164.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.50 / $136.52 / $322.94	Professional	TC	$109.50	$136.52	$322.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.32 / $477.36 / $735.49	Professional		$278.32	$477.36	$735.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $53.75 / $82.80	Professional	26	$35.40	$53.75	$82.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.86 / $447.13 / $652.69	Professional	TC	$245.86	$447.13	$652.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.08 / $160.68 / $192.52	Facility	26	$37.08	$160.68	$192.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.57 / $327.64 / $414.99	Professional		$260.57	$327.64	$414.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.49 / $37.08 / $46.97	Professional	26	$29.49	$37.08	$46.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.08 / $290.57 / $368.03	Professional	TC	$231.08	$290.57	$368.03
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $29.20 / $151.59 / $151.59	Facility	26	$29.20	$151.59	$151.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $369.11	Professional		$257.99	$257.99	$369.11
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $29.20 / $29.20 / $41.77	Professional	26	$29.20	$29.20	$41.77
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $228.80 / $228.80 / $327.33	Professional	TC	$228.80	$228.80	$327.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $240.51 / $240.51 / $240.51	Facility	26	$240.51	$240.51	$240.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $235.68 / $1,336.58	Professional		$109.78	$235.68	$1,336.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $64.48 / $165.54	Professional	26	$25.70	$64.48	$165.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $93.78 / $193.14 / $1,188.97	Professional	TC	$93.78	$193.14	$1,188.97
United Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $223.27 / $530.61	Professional		$109.78	$223.27	$530.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.83 / $46.93 / $90.11	Professional	26	$20.83	$46.93	$90.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.78 / $176.34 / $455.27	Professional	TC	$93.78	$176.34	$455.27