Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.09 / $45.09 / $45.09	Facility	26	$45.09	$45.09	$45.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $84.87 / $164.26	Professional		$69.34	$84.87	$164.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.85 / $45.22 / $189.73	Professional	26	$39.85	$45.22	$189.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.15 / $34.10 / $79.00	Professional	TC	$24.15	$34.10	$79.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.26 / $34.26 / $35.75	Facility	26	$34.26	$34.26	$35.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $190.93 / $293.27	Professional		$117.92	$190.93	$293.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.09 / $92.83 / $141.94	Professional	26	$59.09	$92.83	$141.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.53 / $104.66 / $151.33	Professional	TC	$61.53	$104.66	$151.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.02 / $143.33 / $344.81	Facility	26	$101.02	$143.33	$344.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.87 / $229.13 / $356.81	Professional		$141.87	$229.13	$356.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.65 / $110.87 / $172.65	Professional	26	$68.65	$110.87	$172.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.22 / $118.26 / $184.16	Professional	TC	$73.22	$118.26	$184.16
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $82.16 / $130.80 / $271.50	Facility	26	$82.16	$130.80	$271.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $209.29 / $322.39	Professional		$126.01	$209.29	$322.39
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $101.27 / $156.00	Professional	26	$60.97	$101.27	$156.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $65.04 / $108.02 / $166.40	Professional	TC	$65.04	$108.02	$166.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $204.09 / $204.09 / $204.09	Facility	26	$204.09	$204.09	$204.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $153.49 / $310.33	Professional		$86.14	$153.49	$310.33
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $86.32 / $163.43	Professional	26	$49.98	$86.32	$163.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.14 / $67.19 / $137.21	Professional	TC	$33.14	$67.19	$137.21
United Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $153.49 / $288.06	Professional		$86.14	$153.49	$288.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $86.32 / $155.43	Professional	26	$49.98	$86.32	$155.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.35 / $77.55 / $137.21	Professional	TC	$33.35	$77.55	$137.21