Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.73 / $22.73 / $22.73	Facility	26	$22.73	$22.73	$22.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $47.80 / $90.74	Professional		$29.85	$47.80	$90.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $21.89 / $31.28	Professional	26	$19.55	$21.89	$31.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.93 / $15.58 / $59.46	Professional	TC	$9.93	$15.58	$59.46
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 $74.47 / $119.39 / $186.52	Professional		$74.47	$119.39	$186.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $48.21 / $71.56	Professional	26	$29.78	$48.21	$71.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.39 / $79.81 / $114.96	Professional	TC	$46.39	$79.81	$114.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.51 / $71.67 / $172.40	Facility	26	$50.51	$71.67	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $144.13 / $224.44	Professional		$89.24	$144.13	$224.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.32 / $55.44 / $86.32	Professional	26	$34.32	$55.44	$86.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.92 / $88.70 / $138.12	Professional	TC	$54.92	$88.70	$138.12
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $41.08 / $65.40 / $135.75	Facility	26	$41.08	$65.40	$135.75
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $131.65 / $202.80	Professional		$79.26	$131.65	$202.80
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.49 / $50.63 / $78.00	Professional	26	$30.49	$50.63	$78.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $48.78 / $81.01 / $124.80	Professional	TC	$48.78	$81.01	$124.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $92.34 / $92.34 / $92.34	Facility	26	$92.34	$92.34	$92.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $93.24 / $180.32	Professional		$44.03	$93.24	$180.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.62 / $43.86 / $83.07	Professional	26	$24.62	$43.86	$83.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.21 / $50.66 / $103.77	Professional	TC	$14.21	$50.66	$103.77
United Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $94.79 / $175.86	Professional		$44.07	$94.79	$175.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.62 / $43.87 / $79.00	Professional	26	$24.62	$43.87	$79.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.96 / $48.06 / $95.38	Professional	TC	$12.96	$48.06	$95.38