Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.41 / $6.41 / $6.41	Facility	26	$6.41	$6.41	$6.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.55 / $6.66 / $68.53	Professional	26	$5.55	$6.66	$68.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $22.58 / $193.50	Professional	TC	$19.55	$22.58	$193.50
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 / $56.18 / $85.64	Professional	26	$35.65	$56.18	$85.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.82 / $188.96 / $272.16	Professional	TC	$111.82	$188.96	$272.16
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 $133.29 / $215.27 / $335.23	Professional	TC	$133.29	$215.27	$335.23
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 $118.39 / $196.63 / $302.89	Professional	TC	$118.39	$196.63	$302.89
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 $86.69 / $393.12 / $393.12	Professional	TC	$86.69	$393.12	$393.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $34.75 / $71.26	Professional	26	$25.03	$34.75	$71.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.72 / $204.23 / $326.33	Professional	TC	$102.72	$204.23	$326.33