Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.13 / $61.13 / $61.13	Facility	26	$61.13	$61.13	$61.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $275.00 / $431.87	Professional		$202.10	$275.00	$431.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $62.17 / $116.54	Professional	26	$55.00	$62.17	$116.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.32 / $206.08 / $334.26	Professional	TC	$146.32	$206.08	$334.26
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.09 / $50.09 / $50.09	Facility	26	$50.09	$50.09	$50.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.11 / $627.72 / $761.34	Professional		$372.11	$627.72	$761.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.66 / $172.16 / $208.81	Professional	26	$103.66	$172.16	$208.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $315.83 / $455.56 / $552.53	Professional	TC	$315.83	$455.56	$552.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.16 / $207.83 / $499.97	Facility	26	$133.16	$207.83	$499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.85 / $422.92 / $715.27	Professional		$327.85	$422.92	$715.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.81 / $112.79 / $192.52	Professional	26	$73.81	$112.79	$192.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.03 / $315.13 / $541.94	Professional	TC	$239.03	$315.13	$541.94
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $115.40 / $183.24 / $393.68	Facility	26	$115.40	$183.24	$393.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $327.85 / $409.81 / $661.83	Professional		$327.85	$409.81	$661.83
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $88.81 / $110.46 / $179.29	Professional	26	$88.81	$110.46	$179.29
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $239.03 / $298.79 / $482.54	Professional	TC	$239.03	$298.79	$482.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $520.74 / $2,220.23	Professional		$276.69	$520.74	$2,220.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.13 / $126.98 / $590.91	Professional	26	$66.13	$126.98	$590.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $205.63 / $397.76 / $1,822.59	Professional	TC	$205.63	$397.76	$1,822.59
United Facility/Professional Professional Modifier Low / Median / High Price $251.54 / $490.11 / $807.59	Professional		$251.54	$490.11	$807.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.59 / $115.74 / $197.13	Professional	26	$64.59	$115.74	$197.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.94 / $368.92 / $622.38	Professional	TC	$186.94	$368.92	$622.38