Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.44 / $24.44 / $24.44	Facility	26	$24.44	$24.44	$24.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $131.32 / $211.88	Professional		$110.97	$131.32	$211.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $24.33 / $60.36	Professional	26	$14.49	$24.33	$60.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.81 / $112.49 / $150.47	Professional	TC	$93.81	$112.49	$150.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.71 / $18.71 / $18.71	Facility	26	$18.71	$18.71	$18.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.90 / $328.28 / $435.22	Professional		$189.90	$328.28	$435.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.28 / $60.95 / $80.94	Professional	26	$35.28	$60.95	$80.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $175.29 / $283.42 / $354.28	Professional	TC	$175.29	$283.42	$354.28
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 $165.52 / $340.93 / $530.89	Professional		$165.52	$340.93	$530.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.14 / $60.06 / $93.52	Professional	26	$24.14	$60.06	$93.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.16 / $280.87 / $437.38	Professional	TC	$145.16	$280.87	$437.38
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 $209.00 / $335.86 / $479.70	Professional		$209.00	$335.86	$479.70
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.82 / $59.27 / $84.50	Professional	26	$36.82	$59.27	$84.50
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $172.19 / $276.58 / $395.20	Professional	TC	$172.19	$276.58	$395.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.96 / $102.96 / $102.96	Facility	26	$102.96	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $271.31 / $1,021.59	Professional		$144.51	$271.31	$1,021.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $49.51 / $203.09	Professional	26	$25.26	$49.51	$203.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $117.65 / $219.25 / $934.78	Professional	TC	$117.65	$219.25	$934.78
United Facility/Professional Professional Modifier Low / Median / High Price $144.08 / $272.52 / $479.71	Professional		$144.08	$272.52	$479.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $46.22 / $89.17	Professional	26	$25.26	$46.22	$89.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.42 / $207.98 / $391.25	Professional	TC	$111.42	$207.98	$391.25