Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.97 / $33.97 / $57.40	Facility	26	$33.97	$33.97	$57.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $64.76 / $114.61	Professional		$50.29	$64.76	$114.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.88 / $33.97 / $51.19	Professional	26	$29.88	$33.97	$51.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.16 / $29.25 / $67.03	Professional	TC	$18.16	$29.25	$67.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $25.91 / $25.91 / $27.04	Facility	26	$25.91	$25.91	$27.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $148.49 / $235.79	Professional		$93.58	$148.49	$235.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.93 / $71.92 / $106.75	Professional	26	$44.93	$71.92	$106.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.50 / $89.93 / $129.04	Professional	TC	$53.50	$89.93	$129.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.61 / $108.69 / $261.48	Facility	26	$76.61	$108.69	$261.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $184.79 / $287.75	Professional		$114.41	$184.79	$287.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.63 / $85.00 / $132.36	Professional	26	$52.63	$85.00	$132.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.78 / $99.78 / $155.38	Professional	TC	$61.78	$99.78	$155.38
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $62.31 / $99.19 / $205.89	Facility	26	$62.31	$99.19	$205.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $168.78 / $260.00	Professional		$101.62	$168.78	$260.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $46.75 / $77.64 / $119.60	Professional	26	$46.75	$77.64	$119.60
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $54.87 / $91.14 / $140.40	Professional	TC	$54.87	$91.14	$140.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $145.80 / $145.80 / $145.80	Facility	26	$145.80	$145.80	$145.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $121.66 / $246.19	Professional		$65.88	$121.66	$246.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.52 / $65.06 / $123.23	Professional	26	$36.52	$65.06	$123.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.18 / $56.59 / $115.39	Professional	TC	$25.18	$56.59	$115.39
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $121.66 / $228.33	Professional		$65.88	$121.66	$228.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.52 / $65.06 / $117.20	Professional	26	$36.52	$65.06	$117.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $53.41 / $106.07	Professional	TC	$26.32	$53.41	$106.07