Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.60 / $27.60 / $27.60	Facility	26	$27.60	$27.60	$27.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $60.74 / $186.00	Professional		$42.46	$60.74	$186.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $28.51 / $103.00	Professional	26	$24.90	$28.51	$103.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $27.60 / $63.87	Professional	TC	$16.67	$27.60	$63.87
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.72 / $20.72 / $21.62	Facility	26	$20.72	$20.72	$21.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $136.69 / $209.98	Professional		$85.94	$136.69	$209.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.14 / $56.81 / $86.81	Professional	26	$36.14	$56.81	$86.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.81 / $85.50 / $123.18	Professional	TC	$49.81	$85.50	$123.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.30 / $88.39 / $212.63	Facility	26	$62.30	$88.39	$212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $163.53 / $254.66	Professional		$101.26	$163.53	$254.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.33 / $68.37 / $106.47	Professional	26	$42.33	$68.37	$106.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.92 / $95.16 / $148.19	Professional	TC	$58.92	$95.16	$148.19
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $50.67 / $80.66 / $167.43	Facility	26	$50.67	$80.66	$167.43
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $149.37 / $230.10	Professional		$89.93	$149.37	$230.10
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $37.60 / $62.45 / $96.20	Professional	26	$37.60	$62.45	$96.20
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $52.33 / $86.92 / $133.90	Professional	TC	$52.33	$86.92	$133.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $118.83 / $118.83 / $118.83	Facility	26	$118.83	$118.83	$118.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $105.93 / $203.82	Professional		$55.08	$105.93	$203.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $52.46 / $100.47	Professional	26	$29.78	$52.46	$100.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.62 / $54.47 / $111.05	Professional	TC	$23.62	$54.47	$111.05
United Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $109.71 / $203.62	Professional		$57.20	$109.71	$203.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $52.40 / $95.56	Professional	26	$29.78	$52.40	$95.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.98 / $53.58 / $102.08	Professional	TC	$23.98	$53.58	$102.08