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 $65.54 / $80.84 / $328.00	Professional		$65.54	$80.84	$328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $47.02 / $179.00	Professional	26	$40.51	$47.02	$179.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $31.59 / $76.19	Professional	TC	$21.73	$31.59	$76.19
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 $114.75 / $181.00 / $278.02	Professional		$114.75	$181.00	$278.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.09 / $94.18 / $140.77	Professional	26	$59.09	$94.18	$140.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.67 / $95.14 / $137.25	Professional	TC	$55.67	$95.14	$137.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.18 / $142.13 / $341.93	Facility	26	$100.18	$142.13	$341.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.01 / $218.05 / $339.54	Professional		$135.01	$218.05	$339.54
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 $66.36 / $107.18 / $166.89	Professional	TC	$66.36	$107.18	$166.89
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $81.48 / $129.71 / $269.24	Facility	26	$81.48	$129.71	$269.24
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $199.16 / $306.80	Professional		$119.91	$199.16	$306.80
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 $58.94 / $97.89 / $150.80	Professional	TC	$58.94	$97.89	$150.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $190.77 / $190.77 / $190.77	Facility	26	$190.77	$190.77	$190.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $147.13 / $278.63	Professional		$82.58	$147.13	$278.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.44 / $85.88 / $163.41	Professional	26	$48.44	$85.88	$163.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.05 / $60.84 / $124.11	Professional	TC	$29.05	$60.84	$124.11
United Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $138.16 / $273.22	Professional		$78.81	$138.16	$273.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.44 / $85.82 / $159.13	Professional	26	$48.44	$85.82	$159.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.30 / $60.84 / $114.08	Professional	TC	$30.30	$60.84	$114.08