Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.09 / $48.09 / $48.09	Facility	26	$48.09	$48.09	$48.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $88.66 / $120.57	Professional		$78.95	$88.66	$120.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $47.60 / $61.63	Professional	26	$40.51	$47.60	$61.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $43.53 / $63.20	Professional	TC	$37.35	$43.53	$63.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.86 / $36.86 / $36.86	Facility	26	$36.86	$36.86	$36.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.47 / $238.10 / $308.52	Professional		$126.47	$238.10	$308.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.48 / $118.34 / $152.50	Professional	26	$63.48	$118.34	$152.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.50 / $125.35 / $156.02	Professional	TC	$64.50	$125.35	$156.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.65 / $154.08 / $370.67	Facility	26	$108.65	$154.08	$370.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.74 / $240.22 / $374.07	Professional		$148.74	$240.22	$374.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.80 / $119.19 / $185.60	Professional	26	$73.80	$119.19	$185.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.94 / $121.03 / $188.47	Professional	TC	$74.94	$121.03	$188.47
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $98.72 / $140.61 / $291.86	Facility	26	$98.72	$140.61	$291.86
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $223.60 / $338.00	Professional		$147.26	$223.60	$338.00
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $73.06 / $110.94 / $167.70	Professional	26	$73.06	$110.94	$167.70
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $74.20 / $112.66 / $170.30	Professional	TC	$74.20	$112.66	$170.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $182.26 / $567.30	Professional		$94.77	$182.26	$567.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.22 / $96.33 / $318.67	Professional	26	$51.22	$96.33	$318.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.66 / $85.68 / $318.67	Professional	TC	$44.66	$85.68	$318.67
United Facility/Professional Professional Modifier Low / Median / High Price $96.47 / $175.40 / $319.92	Professional		$96.47	$175.40	$319.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.22 / $95.26 / $168.43	Professional	26	$51.22	$95.26	$168.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.25 / $85.93 / $151.49	Professional	TC	$45.25	$85.93	$151.49