Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.39 / $23.39 / $23.39	Facility	26	$23.39	$23.39	$23.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $43.26 / $134.22	Professional		$36.09	$43.26	$134.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $23.39 / $36.81	Professional	26	$19.91	$23.39	$36.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.13 / $19.87 / $97.42	Professional	TC	$16.13	$19.87	$97.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.85 / $17.85 / $17.85	Facility	26	$17.85	$17.85	$17.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $112.72 / $137.25	Professional		$56.65	$112.72	$137.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.69 / $60.94 / $73.91	Professional	26	$32.69	$60.94	$73.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.34 / $52.23 / $63.35	Professional	TC	$31.34	$52.23	$63.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.21 / $75.25 / $181.02	Facility	26	$48.21	$75.25	$181.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $111.74 / $166.89	Professional		$50.40	$111.74	$166.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.95 / $55.99 / $89.17	Professional	26	$28.95	$55.99	$89.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $51.61 / $91.36	Professional	TC	$21.78	$51.61	$91.36
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $41.78 / $66.34 / $142.54	Facility	26	$41.78	$66.34	$142.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $105.07 / $150.80	Professional		$69.43	$105.07	$150.80
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $37.71 / $56.58 / $81.90	Professional	26	$37.71	$56.58	$81.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.72 / $48.33 / $68.90	Professional	TC	$31.72	$48.33	$68.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $201.45 / $201.45 / $201.45	Facility	26	$201.45	$201.45	$201.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $83.91 / $764.92	Professional		$39.70	$83.91	$764.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $42.75 / $382.94	Professional	26	$22.74	$42.75	$382.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $33.83 / $585.86	Professional	TC	$16.96	$33.83	$585.86
United Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $72.84 / $128.07	Professional		$39.70	$72.84	$128.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $40.27 / $68.22	Professional	26	$22.74	$40.27	$68.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $31.41 / $71.81	Professional	TC	$16.96	$31.41	$71.81