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 $121.28 / $148.08 / $627.00	Professional		$121.28	$148.08	$627.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.45 / $48.09 / $63.44	Professional	26	$41.45	$48.09	$63.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.55 / $89.76 / $134.26	Professional	TC	$75.55	$89.76	$134.26
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 $172.38 / $333.18 / $429.35	Professional		$172.38	$333.18	$429.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.97 / $119.26 / $153.68	Professional	26	$63.97	$119.26	$153.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.00 / $223.96 / $275.68	Professional	TC	$111.00	$223.96	$275.68
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 $204.27 / $328.92 / $512.19	Professional		$204.27	$328.92	$512.19
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 $130.34 / $209.73 / $326.58	Professional	TC	$130.34	$209.73	$326.58
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 $201.64 / $306.16 / $462.80	Professional		$201.64	$306.16	$462.80
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 $128.57 / $195.22 / $295.10	Professional	TC	$128.57	$195.22	$295.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $287.04 / $944.58	Professional		$147.00	$287.04	$944.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.68 / $98.56 / $386.24	Professional	26	$52.68	$98.56	$386.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $96.34 / $181.08 / $782.04	Professional	TC	$96.34	$181.08	$782.04
United Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $273.00 / $479.94	Professional		$147.00	$273.00	$479.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.95 / $98.56 / $169.35	Professional	26	$52.95	$98.56	$169.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.98 / $180.79 / $310.58	Professional	TC	$95.98	$180.79	$310.58