Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $602.56	Professional		$181.97	$275.42	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $89.13 / $213.80	Professional	26	$52.48	$89.13	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $190.55 / $380.19	Professional	TC	$125.89	$190.55	$380.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $44.67 / $44.67	Facility	26	$38.90	$44.67	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $660.69	Professional		$302.00	$446.68	$660.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $128.82 / $190.55	Professional	26	$87.10	$128.82	$190.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $338.84 / $467.74	Professional	TC	$213.80	$338.84	$467.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $169.82 / $467.74	Facility	26	$43.65	$169.82	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $602.56	Professional		$275.42	$354.81	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $165.96	Professional	26	$66.07	$102.33	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $257.04 / $457.09	Professional	TC	$199.53	$257.04	$457.09
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $190.55 / $371.54	Facility	26	$151.36	$190.55	$371.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $524.81	Professional		$281.84	$281.84	$524.81
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $141.25	Professional	26	$79.43	$79.43	$141.25
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $204.17 / $380.19	Professional	TC	$204.17	$204.17	$380.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $467.74 / $1,949.84	Professional		$229.09	$467.74	$1,949.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $114.82 / $562.34	Professional	26	$60.26	$114.82	$562.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $354.81 / $1,548.82	Professional	TC	$169.82	$354.81	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $676.08	Professional		$229.09	$416.87	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $102.33 / $173.78	Professional	26	$57.54	$102.33	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $316.23 / $512.86	Professional	TC	$162.18	$316.23	$512.86