Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.19 / $62.19 / $93.28	Facility	26	$62.19	$62.19	$93.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $232.78 / $534.01	Professional		$158.97	$232.78	$534.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $64.90 / $216.64	Professional	26	$55.00	$64.90	$216.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.30 / $177.61 / $221.14	Professional	TC	$98.30	$177.61	$221.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.97 / $50.97 / $50.97	Facility	26	$50.97	$50.97	$50.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.85 / $472.97 / $573.65	Professional		$281.85	$472.97	$573.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.40 / $175.07 / $212.33	Professional	26	$105.40	$175.07	$212.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $206.95 / $297.89 / $361.31	Professional	TC	$206.95	$297.89	$361.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.46 / $211.42 / $508.59	Facility	26	$135.46	$211.42	$508.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.15 / $327.00 / $605.45	Professional		$247.15	$327.00	$605.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.54 / $114.73 / $196.94	Professional	26	$69.54	$114.73	$196.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.38 / $215.62 / $410.59	Professional	TC	$158.38	$215.62	$410.59
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $117.39 / $186.40 / $400.46	Facility	26	$117.39	$186.40	$400.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $247.15 / $319.23 / $551.92	Professional		$247.15	$319.23	$551.92
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $90.34 / $112.92 / $182.36	Professional	26	$90.34	$112.92	$182.36
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $156.82 / $202.55 / $398.61	Professional	TC	$156.82	$202.55	$398.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $571.36 / $571.36 / $571.36	Facility	26	$571.36	$571.36	$571.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.91 / $433.10 / $1,670.68	Professional		$223.91	$433.10	$1,670.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.52 / $128.32 / $520.49	Professional	26	$65.52	$128.32	$520.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $145.13 / $294.02 / $1,318.41	Professional	TC	$145.13	$294.02	$1,318.41
United Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $373.61 / $677.67	Professional		$203.55	$373.61	$677.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $109.31 / $203.03	Professional	26	$65.31	$109.31	$203.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.22 / $266.77 / $460.20	Professional	TC	$138.22	$266.77	$460.20