Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.06 / $25.06 / $25.06	Facility	26	$25.06	$25.06	$25.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $177.46 / $289.94	Professional		$147.13	$177.46	$289.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.64 / $25.06 / $36.44	Professional	26	$21.64	$25.06	$36.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.03 / $151.28 / $251.29	Professional	TC	$124.03	$151.28	$251.29
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.00 / $19.00 / $19.00	Facility	26	$19.00	$19.00	$19.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.49 / $423.99 / $563.09	Professional		$247.49	$423.99	$563.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.32 / $61.94 / $82.12	Professional	26	$36.32	$61.94	$82.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.97 / $389.30 / $484.61	Professional	TC	$237.97	$389.30	$484.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.51 / $78.83 / $189.64	Facility	26	$50.51	$78.83	$189.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.30 / $444.41 / $692.03	Professional		$215.30	$444.41	$692.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.85 / $61.90 / $96.40	Professional	26	$28.85	$61.90	$96.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.76 / $382.51 / $595.64	Professional	TC	$190.76	$382.51	$595.64
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $43.77 / $71.94 / $149.33	Facility	26	$43.77	$71.94	$149.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $434.64 / $625.29	Professional		$272.44	$434.64	$625.29
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $37.95 / $60.24 / $87.10	Professional	26	$37.95	$60.24	$87.10
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $234.49 / $375.37 / $538.20	Professional	TC	$234.49	$375.37	$538.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $236.27 / $236.27 / $236.27	Facility	26	$236.27	$236.27	$236.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.39 / $345.80 / $1,431.47	Professional		$191.39	$345.80	$1,431.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.83 / $49.51 / $293.89	Professional	26	$26.83	$49.51	$293.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $163.94 / $296.14 / $1,288.22	Professional	TC	$163.94	$296.14	$1,288.22
United Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $324.18 / $610.71	Professional		$183.40	$324.18	$610.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $46.34 / $88.46	Professional	26	$25.26	$46.34	$88.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.61 / $279.05 / $522.25	Professional	TC	$155.61	$279.05	$522.25