Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.86 / $36.86 / $36.86	Facility	26	$36.86	$36.86	$36.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $105.60 / $328.50	Professional		$69.34	$105.60	$328.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $36.35 / $47.51	Professional	26	$31.26	$36.35	$47.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.52 / $67.50 / $100.24	Professional	TC	$34.52	$67.50	$100.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.50 / $28.50 / $28.50	Facility	26	$28.50	$28.50	$28.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $284.02 / $366.01	Professional		$148.44	$284.02	$366.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.32 / $91.94 / $118.48	Professional	26	$49.32	$91.94	$118.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.37 / $202.35 / $247.52	Professional	TC	$100.37	$202.35	$247.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.23 / $119.44 / $287.33	Facility	26	$84.23	$119.44	$287.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.62 / $283.64 / $441.69	Professional		$175.62	$283.64	$441.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.21 / $92.39 / $143.87	Professional	26	$57.21	$92.39	$143.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.42 / $191.25 / $297.82	Professional	TC	$118.42	$191.25	$297.82
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $76.53 / $109.00 / $226.25	Facility	26	$76.53	$109.00	$226.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $173.88 / $264.02 / $399.10	Professional		$173.88	$264.02	$399.10
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.64 / $86.00 / $130.00	Professional	26	$56.64	$86.00	$130.00
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $117.24 / $178.02 / $269.10	Professional	TC	$117.24	$178.02	$269.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $204.31 / $687.40	Professional		$96.00	$204.31	$687.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $74.31 / $224.56	Professional	26	$39.29	$74.31	$224.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $60.27 / $125.75 / $472.45	Professional	TC	$60.27	$125.75	$472.45
United Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $199.68 / $353.14	Professional		$98.33	$199.68	$353.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $70.03 / $128.72	Professional	26	$39.29	$70.03	$128.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.08 / $136.49 / $233.18	Professional	TC	$62.08	$136.49	$233.18