Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.83 / $29.83 / $29.83	Facility	26	$29.83	$29.83	$29.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $65.63 / $304.00	Professional		$57.31	$65.63	$304.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.96 / $29.82 / $47.32	Professional	26	$25.96	$29.82	$47.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.72 / $34.52 / $55.66	Professional	TC	$30.72	$34.52	$55.66
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $22.75 / $22.75 / $23.74	Facility	26	$22.75	$22.75	$23.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $165.95 / $221.72	Professional		$92.78	$165.95	$221.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.04 / $72.22 / $95.02	Professional	26	$40.04	$72.22	$95.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.32 / $100.42 / $126.69	Professional	TC	$58.32	$100.42	$126.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.22 / $95.55 / $229.87	Facility	26	$61.22	$95.55	$229.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $175.55 / $273.36	Professional		$107.62	$175.55	$273.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.31 / $73.91 / $115.10	Professional	26	$45.31	$73.91	$115.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.60 / $101.63 / $158.26	Professional	TC	$59.60	$101.63	$158.26
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $53.06 / $87.20 / $181.00	Facility	26	$53.06	$87.20	$181.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $165.28 / $247.00	Professional		$107.62	$165.28	$247.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.31 / $69.59 / $104.00	Professional	26	$45.31	$69.59	$104.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $62.30 / $95.69 / $143.00	Professional	TC	$62.30	$95.69	$143.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.62 / $122.62 / $122.62	Facility	26	$122.62	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $127.84 / $315.27	Professional		$66.30	$127.84	$315.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.28 / $60.44 / $330.63	Professional	26	$31.28	$60.44	$330.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.97 / $62.08 / $563.89	Professional	TC	$31.97	$62.08	$563.89
United Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $111.50 / $205.33	Professional		$61.78	$111.50	$205.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $52.71 / $99.58	Professional	26	$29.23	$52.71	$99.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.56 / $58.29 / $109.57	Professional	TC	$32.56	$58.29	$109.57