Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $295.12	Professional		$112.20	$138.04	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $45.71 / $85.11	Professional	26	$39.81	$45.71	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $85.11 / $151.36	Professional	TC	$69.18	$85.11	$151.36
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $38.02 / $38.02	Facility	26	$33.11	$38.02	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $426.58	Professional		$173.78	$288.40	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $158.49	Professional	26	$64.57	$104.71	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $186.21 / $269.15	Professional	TC	$109.65	$186.21	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $154.88 / $389.05	Facility	26	$50.12	$154.88	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $512.86	Professional		$190.55	$323.59	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $117.49 / $186.21	Professional	26	$67.61	$117.49	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $208.93 / $323.59	Professional	TC	$125.89	$208.93	$323.59
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $154.88 / $302.00	Facility	26	$125.89	$154.88	$302.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $467.74	Professional		$213.80	$302.00	$467.74
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $109.65 / $169.82	Professional	26	$77.62	$109.65	$169.82
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $194.98 / $302.00	Professional	TC	$134.90	$194.98	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $281.84 / $954.99	Professional		$134.90	$281.84	$954.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $93.33 / $389.05	Professional	26	$46.77	$93.33	$389.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $173.78 / $776.25	Professional	TC	$83.18	$173.78	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $436.52	Professional		$134.90	$251.19	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $87.10 / $154.88	Professional	26	$48.98	$87.10	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $165.96 / $275.42	Professional	TC	$83.18	$165.96	$275.42