Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $131.83	Professional		$29.51	$53.70	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $42.66	Professional	26	$18.20	$21.88	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $32.36 / $63.10	Professional	TC	$8.91	$32.36	$63.10
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $17.78 / $18.62	Facility	26	$17.78	$17.78	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $186.21	Professional		$74.13	$120.23	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $46.77 / $72.44	Professional	26	$28.84	$46.77	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $75.86 / $114.82	Professional	TC	$46.77	$75.86	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $75.86 / $181.97	Facility	26	$53.70	$75.86	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $223.87	Professional		$89.13	$147.91	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $87.10	Professional	26	$34.67	$56.23	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $91.20 / $138.04	Professional	TC	$53.70	$91.20	$138.04
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $72.44 / $141.25	Facility	26	$57.54	$72.44	$141.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $213.80	Professional		$89.13	$131.83	$213.80
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $51.29 / $81.28	Professional	26	$34.67	$51.29	$81.28
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $81.28 / $128.82	Professional	TC	$54.95	$81.28	$128.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $229.09	Professional		$43.65	$89.13	$229.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $43.65 / $104.71	Professional	26	$22.39	$43.65	$104.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $47.86 / $123.03	Professional	TC	$14.45	$47.86	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $177.83	Professional		$44.67	$97.72	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $41.69 / $75.86	Professional	26	$23.99	$41.69	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $53.70 / $100.00	Professional	TC	$14.79	$53.70	$100.00