Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.28 / $40.28 / $40.28	Facility	26	$40.28	$40.28	$40.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $70.40 / $140.16	Professional		$56.70	$70.40	$140.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.17 / $39.43 / $52.87	Professional	26	$31.17	$39.43	$52.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.10 / $27.90 / $36.77	Professional	TC	$21.10	$27.90	$36.77
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $32.45 / $32.45 / $32.45	Facility	26	$32.45	$32.45	$32.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $167.79 / $224.06	Professional		$91.18	$167.79	$224.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.32 / $102.27 / $127.87	Professional	26	$58.32	$102.27	$127.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.40 / $76.94 / $96.19	Professional	TC	$46.40	$76.94	$96.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.42 / $104.38 / $131.25	Facility	26	$83.42	$104.38	$131.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $157.08 / $256.37	Professional		$69.89	$157.08	$256.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.38 / $89.17 / $145.55	Professional	26	$42.38	$89.17	$145.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.21 / $67.90 / $110.83	Professional	TC	$30.21	$67.90	$110.83
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $83.42 / $103.34 / $216.81	Facility	26	$83.42	$103.34	$216.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $153.10 / $220.95	Professional		$89.40	$153.10	$220.95
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $50.75 / $86.92 / $125.44	Professional	26	$50.75	$86.92	$125.44
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $38.64 / $66.18 / $95.52	Professional	TC	$38.64	$66.18	$95.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $165.02 / $165.02 / $165.02	Facility	26	$165.02	$165.02	$165.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $93.29 / $203.07	Professional		$56.28	$93.29	$203.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $50.84 / $122.67	Professional	26	$33.47	$50.84	$122.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.60 / $33.77 / $81.67	Professional	TC	$22.60	$33.77	$81.67
United Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $80.75 / $185.64	Professional		$56.20	$80.75	$185.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.60 / $52.00 / $120.12	Professional	26	$33.60	$52.00	$120.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.60 / $34.13 / $73.56	Professional	TC	$22.60	$34.13	$73.56