Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.49 / $61.49 / $61.49	Facility	26	$61.49	$61.49	$61.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.15 / $275.00 / $430.29	Professional		$185.15	$275.00	$430.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $61.49 / $117.18	Professional	26	$55.00	$61.49	$117.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.13 / $220.00 / $354.04	Professional	TC	$125.13	$220.00	$354.04
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 $326.11 / $548.41 / $665.15	Professional		$326.11	$548.41	$665.15
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 $259.60 / $376.25 / $456.34	Professional	TC	$259.60	$376.25	$456.34
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 $286.45 / $368.67 / $685.26	Professional		$286.45	$368.67	$685.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.05 / $112.79 / $192.52	Professional	26	$72.05	$112.79	$192.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.93 / $258.20 / $503.17	Professional	TC	$197.93	$258.20	$503.17
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 $286.74 / $356.63 / $578.84	Professional		$286.74	$356.63	$578.84
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $88.81 / $109.04 / $179.29	Professional	26	$88.81	$109.04	$179.29
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $197.93 / $246.17 / $406.52	Professional	TC	$197.93	$246.17	$406.52
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 $227.47 / $410.98 / $2,075.08	Professional		$227.47	$410.98	$2,075.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $117.60 / $460.66	Professional	26	$64.95	$117.60	$460.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $156.01 / $283.27 / $1,685.33	Professional	TC	$156.01	$283.27	$1,685.33
United Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $373.90 / $688.46	Professional		$206.79	$373.90	$688.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $110.99 / $204.27	Professional	26	$64.95	$110.99	$204.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.38 / $283.66 / $470.77	Professional	TC	$155.38	$283.66	$470.77