Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $398.11	Professional		$83.18	$123.03	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $281.84	Professional	26	$51.29	$72.44	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $89.13	Professional	TC	$23.99	$42.66	$89.13
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $50.12	Facility	26	$47.86	$47.86	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $338.84	Professional		$138.04	$218.78	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $123.03 / $190.55	Professional	26	$77.62	$123.03	$190.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $100.00 / $151.36	Professional	TC	$61.66	$100.00	$151.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $204.17 / $478.63	Facility	26	$144.54	$204.17	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $416.87	Professional		$165.96	$275.42	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $154.88 / $234.42	Professional	26	$93.33	$154.88	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $120.23 / $181.97	Professional	TC	$72.44	$120.23	$181.97
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $194.98 / $380.19	Facility	26	$154.88	$194.98	$380.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $389.05	Professional		$162.18	$245.47	$389.05
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $138.04 / $218.78	Professional	26	$93.33	$138.04	$218.78
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $107.15 / $173.78	Professional	TC	$72.44	$107.15	$173.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $407.38	Professional		$93.33	$181.97	$407.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $117.49 / $281.84	Professional	26	$61.66	$117.49	$281.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $63.10 / $162.18	Professional	TC	$33.11	$63.10	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $331.13	Professional		$100.00	$186.21	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $204.17	Professional	26	$64.57	$112.20	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $70.79 / $131.83	Professional	TC	$33.88	$70.79	$131.83