Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $724.44	Professional		$169.82	$275.42	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $85.11 / $208.93	Professional	26	$56.23	$85.11	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $162.18 / $363.08	Professional	TC	$112.20	$162.18	$363.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $50.12 / $50.12	Facility	26	$43.65	$50.12	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $630.96	Professional		$288.40	$426.58	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $144.54 / $213.80	Professional	26	$97.72	$144.54	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $288.40 / $416.87	Professional	TC	$190.55	$288.40	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $190.55 / $524.81	Facility	26	$48.98	$190.55	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $602.56	Professional		$234.42	$346.74	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $186.21	Professional	26	$64.57	$112.20	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $229.09 / $426.58	Professional	TC	$165.96	$229.09	$426.58
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $213.80 / $416.87	Facility	26	$169.82	$213.80	$416.87
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $524.81	Professional		$269.15	$269.15	$524.81
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $89.13 / $141.25	Professional	26	$89.13	$89.13	$141.25
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $181.97 / $354.81	Professional	TC	$181.97	$181.97	$354.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $1,905.46	Professional		$194.98	$389.05	$1,905.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $123.03 / $436.52	Professional	26	$64.57	$123.03	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $257.04 / $1,584.89	Professional	TC	$128.82	$257.04	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $588.84	Professional		$194.98	$354.81	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $104.71 / $190.55	Professional	26	$63.10	$104.71	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $239.88 / $407.38	Professional	TC	$128.82	$239.88	$407.38