Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $602.56	Professional		$151.36	$229.09	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $83.18 / $194.98	Professional	26	$57.54	$83.18	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $125.89 / $309.03	Professional	TC	$91.20	$125.89	$309.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $51.29 / $51.29	Facility	26	$44.67	$51.29	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $549.54	Professional		$251.19	$371.54	$549.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $144.54 / $218.78	Professional	26	$100.00	$144.54	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $234.42 / $331.13	Professional	TC	$151.36	$234.42	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $190.55 / $524.81	Facility	26	$48.98	$190.55	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $537.03	Professional		$208.93	$295.12	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $114.82 / $190.55	Professional	26	$64.57	$114.82	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $181.97 / $363.08	Professional	TC	$134.90	$181.97	$363.08
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $213.80 / $416.87	Facility	26	$169.82	$213.80	$416.87
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $467.74	Professional		$234.42	$234.42	$467.74
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $141.25	Professional	26	$91.20	$91.20	$141.25
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $144.54 / $288.40	Professional	TC	$144.54	$144.54	$288.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $338.84 / $1,412.54	Professional		$169.82	$338.84	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $125.89 / $389.05	Professional	26	$66.07	$125.89	$389.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $218.78 / $1,318.26	Professional	TC	$102.33	$218.78	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $512.86	Professional		$165.96	$323.59	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $190.55	Professional	26	$64.57	$104.71	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $204.17 / $323.59	Professional	TC	$102.33	$204.17	$323.59