Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $190.55	Professional		$43.65	$64.57	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $107.15	Professional	26	$22.91	$29.51	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $34.67 / $81.28	Professional	TC	$15.85	$34.67	$81.28
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $22.91	Facility	26	$21.88	$21.88	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $208.93	Professional		$83.18	$134.90	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $56.23 / $87.10	Professional	26	$35.48	$56.23	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $81.28 / $123.03	Professional	TC	$50.12	$81.28	$123.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $93.33 / $223.87	Facility	26	$66.07	$93.33	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $257.04	Professional		$100.00	$165.96	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $70.79 / $107.15	Professional	26	$42.66	$70.79	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $97.72 / $147.91	Professional	TC	$57.54	$97.72	$147.91
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $89.13 / $173.78	Facility	26	$72.44	$89.13	$173.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $239.88	Professional		$100.00	$151.36	$239.88
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $63.10 / $100.00	Professional	26	$42.66	$63.10	$100.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $87.10 / $141.25	Professional	TC	$58.88	$87.10	$141.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $263.03	Professional		$54.95	$102.33	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $52.48 / $125.89	Professional	26	$28.18	$52.48	$125.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $51.29 / $131.83	Professional	TC	$23.44	$51.29	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $204.17	Professional		$56.23	$109.65	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $51.29 / $91.20	Professional	26	$29.51	$51.29	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $57.54 / $107.15	Professional	TC	$23.99	$57.54	$107.15