Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.83 / $60.83 / $60.83	Facility	26	$60.83	$60.83	$60.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $105.15 / $398.00	Professional		$81.51	$105.15	$398.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.69 / $62.40 / $244.93	Professional	26	$53.69	$62.40	$244.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $33.76 / $78.37	Professional	TC	$24.90	$33.76	$78.37
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $46.36 / $46.36 / $48.37	Facility	26	$46.36	$46.36	$48.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $222.24 / $341.37	Professional		$141.13	$222.24	$341.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.09 / $127.05 / $191.22	Professional	26	$80.09	$127.05	$191.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.04 / $103.56 / $150.16	Professional	TC	$61.04	$103.56	$150.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.53 / $192.30 / $462.61	Facility	26	$135.53	$192.30	$462.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $267.01 / $415.80	Professional		$165.33	$267.01	$415.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.67 / $149.68 / $233.08	Professional	26	$92.67	$149.68	$233.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.65 / $117.34 / $182.72	Professional	TC	$72.65	$117.34	$182.72
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $110.24 / $175.49 / $364.26	Facility	26	$110.24	$175.49	$364.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $243.89 / $375.70	Professional		$146.84	$243.89	$375.70
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $82.31 / $136.71 / $210.60	Professional	26	$82.31	$136.71	$210.60
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $64.53 / $107.18 / $165.10	Professional	TC	$64.53	$107.18	$165.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $248.27 / $248.27 / $248.27	Facility	26	$248.27	$248.27	$248.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $183.91 / $370.47	Professional		$103.21	$183.91	$370.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.90 / $116.42 / $222.36	Professional	26	$65.90	$116.42	$222.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.43 / $66.48 / $135.74	Professional	TC	$33.43	$66.48	$135.74
United Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $173.59 / $334.90	Professional		$103.21	$173.59	$334.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.90 / $110.52 / $211.48	Professional	26	$65.90	$110.52	$211.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.90 / $66.48 / $124.77	Professional	TC	$32.90	$66.48	$124.77