Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $55.40 / $74.77	Professional		$47.18	$55.40	$74.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $9.47 / $12.57	Professional	26	$7.70	$9.47	$12.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.47 / $51.02 / $62.21	Professional	TC	$39.47	$51.02	$62.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $139.94 / $191.22	Professional		$87.21	$139.94	$191.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $21.46 / $29.33	Professional	26	$13.64	$21.46	$29.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.12 / $121.89 / $161.65	Professional	TC	$79.12	$121.89	$161.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.37 / $20.20 / $28.90	Facility	26	$18.37	$20.20	$28.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $125.49 / $215.33	Professional		$49.09	$125.49	$215.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $19.21 / $32.83	Professional	26	$7.48	$19.21	$32.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.61 / $106.36 / $182.51	Professional	TC	$41.61	$106.36	$182.51
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.37 / $18.37 / $22.75	Facility	26	$18.37	$18.37	$22.75
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $121.52 / $188.73	Professional		$59.11	$121.52	$188.73
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.01 / $18.53 / $28.77	Professional	26	$9.01	$18.53	$28.77
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $50.10 / $103.00 / $159.96	Professional	TC	$50.10	$103.00	$159.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $67.20 / $166.15	Professional		$46.78	$67.20	$166.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $11.73 / $29.49	Professional	26	$8.10	$11.73	$29.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.61 / $55.48 / $139.54	Professional	TC	$38.61	$55.48	$139.54
United Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $67.20 / $127.74	Professional		$46.54	$67.20	$127.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $13.35 / $27.71	Professional	26	$8.44	$13.35	$27.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.61 / $55.48 / $112.59	Professional	TC	$38.61	$55.48	$112.59