Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.84 / $26.84 / $26.84	Facility	26	$26.84	$26.84	$26.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.11 / $116.36 / $493.07	Professional		$96.11	$116.36	$493.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.32 / $35.18 / $189.90	Professional	26	$23.32	$35.18	$189.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $85.55 / $210.93	Professional	TC	$67.61	$85.55	$210.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $20.44 / $20.44	Facility	26	$20.44	$20.44	$20.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $261.92 / $347.24	Professional		$151.50	$261.92	$347.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.88 / $64.06 / $85.64	Professional	26	$37.88	$64.06	$85.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $130.47 / $211.74 / $261.60	Professional	TC	$130.47	$211.74	$261.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.10 / $86.00 / $206.88	Facility	26	$55.10	$86.00	$206.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $272.56 / $424.43	Professional		$134.47	$272.56	$424.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.46 / $66.52 / $103.59	Professional	26	$33.46	$66.52	$103.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.87 / $206.04 / $320.83	Professional	TC	$100.87	$206.04	$320.83
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.75 / $75.81 / $162.90	Facility	26	$47.75	$75.81	$162.90
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $268.51 / $383.50	Professional		$167.09	$268.51	$383.50
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $64.73 / $93.60	Professional	26	$40.78	$64.73	$93.60
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $126.31 / $203.33 / $289.89	Professional	TC	$126.31	$203.33	$289.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $135.93 / $136.00 / $136.00	Facility	26	$135.93	$136.00	$136.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $226.79 / $698.76	Professional		$114.36	$226.79	$698.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $52.95 / $279.51	Professional	26	$28.41	$52.95	$279.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.77 / $177.00 / $479.00	Professional	TC	$81.77	$177.00	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $204.29 / $331.15	Professional		$101.49	$204.29	$331.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.63 / $49.08 / $83.81	Professional	26	$27.63	$49.08	$83.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.45 / $160.06 / $249.60	Professional	TC	$76.45	$160.06	$249.60