Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.95 / $20.95 / $20.95	Facility	26	$20.95	$20.95	$20.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $78.33 / $182.26	Professional		$68.06	$78.33	$182.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $20.95 / $47.30	Professional	26	$17.82	$20.95	$47.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.68 / $57.38 / $80.50	Professional	TC	$44.68	$57.38	$80.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.27 / $17.27 / $17.27	Facility	26	$17.27	$17.27	$17.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $177.17 / $257.17	Professional		$124.42	$177.17	$257.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.97 / $46.86 / $69.41	Professional	26	$33.97	$46.86	$69.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.43 / $133.50 / $187.75	Professional	TC	$90.43	$133.50	$187.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.38 / $72.86 / $175.28	Facility	26	$51.38	$72.86	$175.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.11 / $100.76 / $109.54	Professional		$87.11	$100.76	$109.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $26.84 / $29.53	Professional	26	$23.48	$26.84	$29.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.63 / $73.92 / $80.01	Professional	TC	$63.63	$73.92	$80.01
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.46 / $66.61 / $138.01	Facility	26	$40.46	$66.61	$138.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $86.25 / $107.81	Professional		$86.25	$86.25	$107.81
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $23.25 / $26.97	Professional	26	$23.25	$23.25	$26.97
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $63.00 / $63.00 / $73.08	Professional	TC	$63.00	$63.00	$73.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $152.28 / $290.17	Professional		$91.81	$152.28	$290.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $41.86 / $78.52	Professional	26	$25.12	$41.86	$78.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.69 / $110.78 / $200.19	Professional	TC	$66.69	$110.78	$200.19
United Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $147.13 / $274.45	Professional		$90.28	$147.13	$274.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $38.29 / $68.16	Professional	26	$24.38	$38.29	$68.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.90 / $111.16 / $198.21	Professional	TC	$65.90	$111.16	$198.21