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 / $82.06	Facility	26	$54.71	$54.71	$82.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $275.00 / $353.25	Professional		$152.32	$275.00	$353.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.05 / $65.42 / $222.89	Professional	26	$53.05	$65.42	$222.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.94 / $193.59 / $283.70	Professional	TC	$98.94	$193.59	$283.70
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 $269.62 / $452.66 / $549.01	Professional		$269.62	$452.66	$549.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.59 / $152.82 / $185.35	Professional	26	$92.59	$152.82	$185.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $206.88 / $299.83 / $363.66	Professional	TC	$206.88	$299.83	$363.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.62 / $185.14 / $445.37	Facility	26	$118.62	$185.14	$445.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $313.26 / $587.85	Professional		$237.00	$313.26	$587.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.39 / $101.19 / $171.84	Professional	26	$66.39	$101.19	$171.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $157.33 / $208.15 / $414.85	Professional	TC	$157.33	$208.15	$414.85
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $102.80 / $163.22 / $350.69	Facility	26	$102.80	$163.22	$350.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $306.12 / $506.09	Professional		$237.00	$306.12	$506.09
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 $157.33 / $203.21 / $364.51	Professional	TC	$157.33	$203.21	$364.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $498.88 / $498.88 / $498.88	Facility	26	$498.88	$498.88	$498.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $337.02 / $1,708.01	Professional		$186.58	$337.02	$1,708.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.26 / $112.96 / $384.71	Professional	26	$62.26	$112.96	$384.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $123.07 / $223.40 / $2,023.00	Professional	TC	$123.07	$223.40	$2,023.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $306.22 / $564.71	Professional		$169.62	$306.22	$564.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $91.81 / $202.87	Professional	26	$57.74	$91.81	$202.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.88 / $204.34 / $372.48	Professional	TC	$111.88	$204.34	$372.48