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 $66.07 / $89.13 / $309.03	Professional		$66.07	$89.13	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $52.48 / $208.93	Professional	26	$38.90	$52.48	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $41.69 / $95.50	Professional	TC	$21.88	$41.69	$95.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $35.48 / $36.31	Facility	26	$35.48	$35.48	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $281.84	Professional		$112.20	$173.78	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $91.20 / $144.54	Professional	26	$57.54	$91.20	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $91.20 / $138.04	Professional	TC	$56.23	$91.20	$138.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $151.36 / $354.81	Facility	26	$107.15	$151.36	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $338.84	Professional		$134.90	$223.87	$338.84
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 $66.07 / $109.65 / $165.96	Professional	TC	$66.07	$109.65	$165.96
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $144.54 / $281.84	Facility	26	$114.82	$144.54	$281.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $323.59	Professional		$134.90	$199.53	$323.59
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 $66.07 / $97.72 / $158.49	Professional	TC	$66.07	$97.72	$158.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	26	$190.55	$190.55	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $354.81	Professional		$75.86	$144.54	$354.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $85.11 / $208.93	Professional	26	$45.71	$85.11	$208.93
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $58.88 / $147.91	Professional	TC	$28.84	$58.88	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $275.42	Professional		$81.28	$151.36	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $81.28 / $151.36	Professional	26	$47.86	$81.28	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $63.10 / $120.23	Professional	TC	$30.20	$63.10	$120.23