Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.23 / $22.23 / $22.23	Facility	26	$22.23	$22.23	$22.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $52.90 / $97.47	Professional		$38.25	$52.90	$97.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $22.23 / $39.65	Professional	26	$19.87	$22.23	$39.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $28.32 / $66.39	Professional	TC	$16.67	$28.32	$66.39
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $17.72	Facility	26	$16.98	$16.98	$17.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $121.55 / $197.08	Professional		$65.18	$121.55	$197.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.30 / $45.82 / $70.39	Professional	26	$29.30	$45.82	$70.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.16 / $89.65 / $126.69	Professional	TC	$55.16	$89.65	$126.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.67 / $70.47 / $169.53	Facility	26	$49.67	$70.47	$169.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $154.30 / $240.27	Professional		$95.53	$154.30	$240.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $54.51 / $84.89	Professional	26	$33.75	$54.51	$84.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.78 / $99.78 / $155.38	Professional	TC	$61.78	$99.78	$155.38
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.40 / $64.31 / $133.49	Facility	26	$40.40	$64.31	$133.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $140.93 / $217.10	Professional		$84.85	$140.93	$217.10
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $49.79 / $76.70	Professional	26	$29.98	$49.79	$76.70
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $54.87 / $91.14 / $140.40	Professional	TC	$54.87	$91.14	$140.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $97.62 / $97.62 / $97.62	Facility	26	$97.62	$97.62	$97.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $98.31 / $198.00	Professional		$50.16	$98.31	$198.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $43.02 / $80.36	Professional	26	$23.82	$43.02	$80.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $55.88 / $113.96	Professional	TC	$23.45	$55.88	$113.96
United Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $98.31 / $184.51	Professional		$52.57	$98.31	$184.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.46 / $41.74 / $78.65	Professional	26	$24.46	$41.74	$78.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.06 / $66.19 / $113.96	Professional	TC	$25.06	$66.19	$113.96