Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $234.42	Professional		$69.18	$89.13	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $45.71 / $190.55	Professional	26	$38.02	$45.71	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $83.18	Professional	TC	$23.99	$42.66	$83.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $35.48 / $37.15	Facility	26	$35.48	$35.48	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $295.12	Professional		$117.49	$190.55	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $93.33 / $144.54	Professional	26	$57.54	$93.33	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $102.33 / $151.36	Professional	TC	$61.66	$102.33	$151.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $151.36 / $363.08	Facility	26	$107.15	$151.36	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $354.81	Professional		$141.25	$234.42	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $114.82 / $173.78	Professional	26	$69.18	$114.82	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $120.23 / $186.21	Professional	TC	$72.44	$120.23	$186.21
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $144.54 / $281.84	Facility	26	$117.49	$144.54	$281.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $338.84	Professional		$141.25	$208.93	$338.84
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $162.18	Professional	26	$69.18	$102.33	$162.18
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $109.65 / $173.78	Professional	TC	$72.44	$109.65	$173.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $338.84	Professional		$79.43	$151.36	$338.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $87.10 / $208.93	Professional	26	$46.77	$87.10	$208.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $64.57 / $165.96	Professional	TC	$33.11	$64.57	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $288.40	Professional		$87.10	$154.88	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $85.11 / $151.36	Professional	26	$48.98	$85.11	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $70.79 / $134.90	Professional	TC	$33.11	$70.79	$134.90