Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.49 / $61.49 / $61.49	Facility	26	$61.49	$61.49	$61.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.03 / $275.00 / $385.46	Professional		$174.03	$275.00	$385.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $61.90 / $282.60	Professional	26	$54.86	$61.90	$282.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.02 / $220.00 / $282.38	Professional	TC	$114.02	$220.00	$282.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.39 / $50.39 / $50.39	Facility	26	$50.39	$50.39	$50.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.47 / $516.50 / $626.44	Professional		$307.47	$516.50	$626.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.24 / $173.13 / $209.98	Professional	26	$104.24	$173.13	$209.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $232.17 / $343.36 / $416.45	Professional	TC	$232.17	$343.36	$416.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.93 / $209.03 / $502.84	Facility	26	$133.93	$209.03	$502.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.72 / $342.89 / $645.24	Professional		$257.72	$342.89	$645.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.65 / $113.44 / $193.62	Professional	26	$67.65	$113.44	$193.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.40 / $233.96 / $462.84	Professional	TC	$175.40	$233.96	$462.84
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $116.06 / $184.29 / $395.94	Facility	26	$116.06	$184.29	$395.94
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $269.99 / $335.80 / $562.55	Professional		$269.99	$335.80	$562.55
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $89.32 / $109.67 / $180.31	Professional	26	$89.32	$109.67	$180.31
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $180.67 / $224.71 / $385.80	Professional	TC	$180.67	$224.71	$385.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $565.04 / $565.04 / $565.04	Facility	26	$565.04	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.58 / $385.56 / $1,897.57	Professional		$213.58	$385.56	$1,897.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $120.52 / $435.88	Professional	26	$64.95	$120.52	$435.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.94 / $253.23 / $1,600.00	Professional	TC	$141.94	$253.23	$1,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $350.93 / $622.35	Professional		$194.16	$350.93	$622.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $108.70 / $204.27	Professional	26	$64.95	$108.70	$204.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.19 / $235.84 / $430.14	Professional	TC	$129.19	$235.84	$430.14