Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.46 / $39.46 / $39.46	Facility	26	$39.46	$39.46	$39.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $73.66 / $140.75	Professional		$63.84	$73.66	$140.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.77 / $48.84 / $191.66	Professional	26	$37.77	$48.84	$191.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.41 / $28.69 / $66.39	Professional	TC	$20.41	$28.69	$66.39
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.95 / $29.95 / $31.25	Facility	26	$29.95	$29.95	$31.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $131.36 / $244.65	Professional		$61.97	$131.36	$244.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $93.03 / $127.85	Professional	26	$55.00	$93.03	$127.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.70 / $105.19 / $137.22	Professional	TC	$64.70	$105.19	$137.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.39 / $125.42 / $301.70	Facility	26	$88.39	$125.42	$301.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $195.87 / $305.01	Professional		$121.28	$195.87	$305.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.07 / $97.01 / $151.07	Professional	26	$60.07	$97.01	$151.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.21 / $98.86 / $153.94	Professional	TC	$61.21	$98.86	$153.94
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $71.89 / $114.45 / $237.56	Facility	26	$71.89	$114.45	$237.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $178.91 / $275.60	Professional		$107.72	$178.91	$275.60
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.35 / $88.61 / $136.50	Professional	26	$53.35	$88.61	$136.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $54.37 / $90.30 / $139.10	Professional	TC	$54.37	$90.30	$139.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $176.34 / $176.34 / $176.34	Facility	26	$176.34	$176.34	$176.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $132.28 / $250.50	Professional		$74.23	$132.28	$250.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.01 / $80.86 / $143.35	Professional	26	$46.01	$80.86	$143.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $56.58 / $115.39	Professional	TC	$28.00	$56.58	$115.39
United Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $132.28 / $245.33	Professional		$74.23	$132.28	$245.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.01 / $81.94 / $139.26	Professional	26	$46.01	$81.94	$139.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.24 / $57.74 / $106.07	Professional	TC	$29.24	$57.74	$106.07