Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $208.93	Professional		$64.57	$77.62	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $181.97	Professional	26	$34.67	$44.67	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $36.31 / $70.79	Professional	TC	$19.95	$36.31	$70.79
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $32.36	Facility	26	$30.90	$30.90	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $229.09	Professional		$63.10	$120.23	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $74.13 / $107.15	Professional	26	$50.12	$74.13	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $87.10 / $123.03	Professional	TC	$52.48	$87.10	$123.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $131.83 / $316.23	Facility	26	$93.33	$131.83	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $302.00	Professional		$120.23	$199.53	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $100.00 / $151.36	Professional	26	$60.26	$100.00	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $102.33 / $154.88	Professional	TC	$60.26	$102.33	$154.88
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $125.89 / $245.47	Facility	26	$102.33	$125.89	$245.47
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $288.40	Professional		$123.03	$181.97	$288.40
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $89.13 / $141.25	Professional	26	$61.66	$89.13	$141.25
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $91.20 / $144.54	Professional	TC	$60.26	$91.20	$144.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	26	$177.83	$177.83	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $316.23	Professional		$69.18	$131.83	$316.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $81.28 / $181.97	Professional	26	$40.74	$81.28	$181.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $53.70 / $138.04	Professional	TC	$28.18	$53.70	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $245.47	Professional		$74.13	$134.90	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $79.43 / $134.90	Professional	26	$42.66	$79.43	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $60.26 / $112.20	Professional	TC	$28.18	$60.26	$112.20