Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.98 / $28.65 / $42.97	Facility	26	$26.98	$28.65	$42.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $55.55 / $226.10	Professional		$46.46	$55.55	$226.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $28.99 / $74.76	Professional	26	$25.82	$28.99	$74.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $25.11 / $63.19	Professional	TC	$19.30	$25.11	$63.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.90 / $23.90 / $23.90	Facility	26	$23.90	$23.90	$23.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $136.19 / $166.58	Professional		$68.48	$136.19	$166.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.10 / $80.56 / $98.54	Professional	26	$44.10	$80.56	$98.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.69 / $56.10 / $68.04	Professional	TC	$28.69	$56.10	$68.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.52 / $99.14 / $238.49	Facility	26	$63.52	$99.14	$238.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $52.47 / $67.63	Professional		$39.28	$52.47	$67.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $33.39 / $41.24	Professional	26	$25.29	$33.39	$41.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $19.07 / $25.96	Professional	TC	$13.99	$19.07	$25.96
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $55.05 / $90.47 / $187.79	Facility	26	$55.05	$90.47	$187.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $49.50 / $61.88	Professional		$49.50	$49.50	$61.88
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.50 / $31.50 / $39.38	Professional	26	$31.50	$31.50	$39.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $18.00 / $23.60	Professional	TC	$18.00	$18.00	$23.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.63 / $141.63 / $141.63	Facility	26	$141.63	$141.63	$141.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.53 / $123.30 / $227.85	Professional		$61.53	$123.30	$227.85
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $60.42 / $107.51	Professional	26	$33.75	$60.42	$107.51
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $113.40 / $113.40 / $113.40	Professional	52	$113.40	$113.40	$113.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.05 / $45.47 / $91.36	Professional	TC	$26.05	$45.47	$91.36
United Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $89.89 / $161.66	Professional		$55.94	$89.89	$161.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $51.50 / $88.59	Professional	26	$30.68	$51.50	$88.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.26 / $42.53 / $73.00	Professional	TC	$25.26	$42.53	$73.00