Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.22 / $19.22 / $19.22	Facility	26	$19.22	$19.22	$19.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $68.20 / $273.22	Professional		$50.39	$68.20	$273.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $26.64 / $195.70	Professional	26	$17.18	$26.64	$195.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $44.04 / $69.20	Professional	TC	$32.40	$44.04	$69.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $14.69 / $14.69 / $14.69	Facility	26	$14.69	$14.69	$14.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $134.50 / $178.31	Professional		$77.83	$134.50	$178.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $46.01 / $61.00	Professional	26	$26.98	$46.01	$61.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.39 / $95.23 / $121.77	Professional	TC	$58.39	$95.23	$121.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.03 / $60.92 / $146.54	Facility	26	$39.03	$60.92	$146.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $138.59 / $215.81	Professional		$76.42	$138.59	$215.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.85 / $47.12 / $73.38	Professional	26	$23.85	$47.12	$73.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.44 / $91.47 / $142.44	Professional	TC	$50.44	$91.47	$142.44
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $33.82 / $53.71 / $115.39	Facility	26	$33.82	$53.71	$115.39
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $136.50 / $195.00	Professional		$84.96	$136.50	$195.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $45.85 / $66.30	Professional	26	$28.89	$45.85	$66.30
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $56.07 / $90.27 / $128.69	Professional	TC	$56.07	$90.27	$128.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.36 / $128.36 / $128.36	Facility	26	$128.36	$128.36	$128.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $112.84 / $604.11	Professional		$60.86	$112.84	$604.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.35 / $37.36 / $456.30	Professional	26	$20.35	$37.36	$456.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.14 / $74.55 / $388.70	Professional	TC	$40.14	$74.55	$388.70
United Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $113.43 / $186.93	Professional		$60.80	$113.43	$186.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $36.58 / $64.38	Professional	26	$18.77	$36.58	$64.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.61 / $69.98 / $119.54	Professional	TC	$38.61	$69.98	$119.54