Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $25.70 / $64.57	Facility	26	$25.70	$25.70	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $575.44	Professional		$95.50	$151.36	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $37.15 / $138.04	Professional	26	$22.91	$37.15	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $87.10 / $218.78	Professional	TC	$67.61	$87.10	$218.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $21.38 / $21.38	Facility	26	$18.62	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $346.74	Professional		$141.25	$234.42	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $58.88 / $87.10	Professional	26	$35.48	$58.88	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $186.21 / $263.03	Professional	TC	$114.82	$186.21	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $79.43 / $213.80	Facility	26	$19.95	$79.43	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $426.58	Professional		$120.23	$251.19	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $61.66 / $102.33	Professional	26	$28.84	$61.66	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $190.55 / $323.59	Professional	TC	$91.20	$190.55	$323.59
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $87.10 / $169.82	Facility	26	$69.18	$87.10	$169.82
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $398.11	Professional		$169.82	$251.19	$398.11
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $61.66 / $97.72	Professional	26	$41.69	$61.66	$97.72
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $190.55 / $302.00	Professional	TC	$128.82	$190.55	$302.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $691.83	Professional		$100.00	$199.53	$691.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $50.12 / $281.84	Professional	26	$26.30	$50.12	$281.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $154.88 / $478.63	Professional	TC	$74.13	$154.88	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $316.23	Professional		$100.00	$194.98	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $45.71 / $79.43	Professional	26	$26.30	$45.71	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $147.91 / $234.42	Professional	TC	$74.13	$147.91	$234.42