Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.61 / $19.61 / $19.61	Facility	26	$19.61	$19.61	$19.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $46.74 / $96.33	Professional		$36.57	$46.74	$96.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.53 / $21.35 / $34.47	Professional	26	$18.53	$21.35	$34.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.17 / $24.72 / $57.56	Professional	TC	$15.17	$24.72	$57.56
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $14.69 / $14.69 / $15.32	Facility	26	$14.69	$14.69	$15.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $109.63 / $171.27	Professional		$68.75	$109.63	$171.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.39 / $40.57 / $61.00	Professional	26	$25.39	$40.57	$61.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.59 / $77.81 / $110.27	Professional	TC	$45.59	$77.81	$110.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.93 / $60.92 / $146.54	Facility	26	$42.93	$60.92	$146.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $133.05 / $207.18	Professional		$82.38	$133.05	$207.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.18 / $47.12 / $73.38	Professional	26	$29.18	$47.12	$73.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.20 / $85.93 / $133.80	Professional	TC	$53.20	$85.93	$133.80
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $34.92 / $55.59 / $115.39	Facility	26	$34.92	$55.59	$115.39
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $121.52 / $187.20	Professional		$73.17	$121.52	$187.20
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $25.91 / $43.04 / $66.30	Professional	26	$25.91	$43.04	$66.30
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $47.25 / $78.48 / $120.90	Professional	TC	$47.25	$78.48	$120.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $98.31 / $98.31 / $98.31	Facility	26	$98.31	$98.31	$98.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $86.30 / $166.87	Professional		$48.04	$86.30	$166.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.75 / $39.69 / $71.00	Professional	26	$22.75	$39.69	$71.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.17 / $48.80 / $99.39	Professional	TC	$21.17	$48.80	$99.39
United Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $88.06 / $160.74	Professional		$48.43	$88.06	$160.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.75 / $39.69 / $69.39	Professional	26	$22.75	$39.69	$69.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $51.56 / $91.35	Professional	TC	$22.36	$51.56	$91.35