Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	26	$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $346.74	Professional		$114.82	$144.54	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.70 / $75.86	Professional	26	$20.89	$25.70	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $112.20 / $245.47	Professional	TC	$91.20	$112.20	$245.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $19.50 / $19.50	Facility	26	$16.98	$19.50	$19.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $446.68	Professional		$177.83	$295.12	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $56.23 / $83.18	Professional	26	$33.88	$56.23	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $251.19 / $354.81	Professional	TC	$154.88	$251.19	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $72.44 / $199.53	Facility	26	$19.05	$72.44	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $537.03	Professional		$147.91	$316.23	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $56.23 / $95.50	Professional	26	$23.99	$56.23	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $263.03 / $436.52	Professional	TC	$123.03	$263.03	$436.52
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $79.43 / $154.88	Facility	26	$64.57	$79.43	$154.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $501.19	Professional		$213.80	$316.23	$501.19
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $56.23 / $89.13	Professional	26	$38.02	$56.23	$89.13
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $257.04 / $416.87	Professional	TC	$177.83	$257.04	$416.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $1,047.13	Professional		$131.83	$251.19	$1,047.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $46.77 / $302.00	Professional	26	$23.99	$46.77	$302.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $208.93 / $912.01	Professional	TC	$104.71	$208.93	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $416.87	Professional		$131.83	$234.42	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $42.66 / $79.43	Professional	26	$24.55	$42.66	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $199.53 / $338.84	Professional	TC	$104.71	$199.53	$338.84