Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.99 / $10.99 / $10.99	Facility	26	$10.99	$10.99	$10.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.48 / $26.08	Professional	26	$9.16	$10.48	$26.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.71 / $16.50 / $36.82	Professional	TC	$14.71	$16.50	$36.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $20.44 / $21.32	Facility	26	$20.44	$20.44	$21.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.65 / $55.75 / $85.64	Professional	26	$35.65	$55.75	$85.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.90 / $87.94 / $126.69	Professional	TC	$52.90	$87.94	$126.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.61 / $86.00 / $206.88	Facility	26	$60.61	$86.00	$206.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.19 / $66.52 / $103.59	Professional	26	$41.19	$66.52	$103.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.36 / $100.71 / $156.82	Professional	TC	$62.36	$100.71	$156.82
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $49.30 / $78.48 / $162.90	Facility	26	$49.30	$78.48	$162.90
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.58 / $60.76 / $93.60	Professional	26	$36.58	$60.76	$93.60
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $55.38 / $91.99 / $141.69	Professional	TC	$55.38	$91.99	$141.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.49 / $110.49 / $110.49	Facility	26	$110.49	$110.49	$110.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $149.40 / $149.40	Professional	26	$26.15	$149.40	$149.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.52 / $183.70 / $183.70	Professional	TC	$40.52	$183.70	$183.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $35.24 / $100.83	Professional	26	$25.03	$35.24	$100.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.14 / $73.34 / $154.59	Professional	TC	$43.14	$73.34	$154.59