Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.71 / $54.71 / $54.71	Facility	26	$54.71	$54.71	$54.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.75 / $275.00 / $400.99	Professional		$180.75	$275.00	$400.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.39 / $63.15 / $146.03	Professional	26	$53.39	$63.15	$146.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.36 / $220.00 / $330.00	Professional	TC	$127.36	$220.00	$330.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $44.92 / $44.92 / $44.92	Facility	26	$44.92	$44.92	$44.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $537.77 / $652.24	Professional		$319.70	$537.77	$652.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.59 / $153.79 / $186.52	Professional	26	$92.59	$153.79	$186.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $266.75 / $383.99 / $465.72	Professional	TC	$266.75	$383.99	$465.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.39 / $186.33 / $448.25	Facility	26	$119.39	$186.33	$448.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.66 / $372.65 / $638.60	Professional		$281.66	$372.65	$638.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $101.19 / $173.71	Professional	26	$69.48	$101.19	$173.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.99 / $270.62 / $476.04	Professional	TC	$201.99	$270.62	$476.04
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $103.46 / $164.28 / $352.95	Facility	26	$103.46	$164.28	$352.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $281.66 / $363.80 / $575.57	Professional		$281.66	$363.80	$575.57
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $79.68 / $99.60 / $160.85	Professional	26	$79.68	$99.60	$160.85
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $201.99 / $260.89 / $416.35	Professional	TC	$201.99	$260.89	$416.35
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $502.08 / $502.08 / $502.08	Facility	26	$502.08	$502.08	$502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.70 / $477.21 / $1,940.92	Professional		$249.70	$477.21	$1,940.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.20 / $115.48 / $556.79	Professional	26	$63.20	$115.48	$556.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $177.72 / $359.74 / $1,561.11	Professional	TC	$177.72	$359.74	$1,561.11
United Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $417.43 / $747.25	Professional		$227.00	$417.43	$747.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $104.71 / $181.81	Professional	26	$57.74	$104.71	$181.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.47 / $337.68 / $563.51	Professional	TC	$163.47	$337.68	$563.51