Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $77.62 / $181.97	Facility	26	$54.95	$77.62	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $109.65	Professional		$87.10	$102.33	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $27.54 / $29.51	Professional	26	$23.44	$27.54	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $74.13 / $79.43	Professional	TC	$63.10	$74.13	$79.43
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $74.13 / $144.54	Facility	26	$58.88	$74.13	$144.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Professional		$87.10	$87.10	$117.49
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $31.62	Professional	26	$23.44	$23.44	$31.62
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $63.10 / $85.11	Professional	TC	$63.10	$63.10	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $295.12	Professional		$85.11	$151.36	$295.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $42.66 / $81.28	Professional	26	$23.44	$42.66	$81.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $107.15 / $204.17	Professional	TC	$63.10	$107.15	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $245.47	Professional		$85.11	$138.04	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $36.31 / $64.57	Professional	26	$22.39	$36.31	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $102.33 / $181.97	Professional	TC	$63.10	$102.33	$181.97