Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.19 / $62.19 / $62.19	Facility	26	$62.19	$62.19	$62.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $232.78 / $333.43	Professional		$150.72	$232.78	$333.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $62.19 / $139.72	Professional	26	$55.00	$62.19	$139.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.04 / $173.55 / $221.14	Professional	TC	$90.04	$173.55	$221.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.97 / $50.97 / $50.97	Facility	26	$50.97	$50.97	$50.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $444.87 / $540.79	Professional		$250.47	$444.87	$540.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.40 / $174.10 / $211.16	Professional	26	$105.40	$174.10	$211.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $188.81 / $271.79 / $329.64	Professional	TC	$188.81	$271.79	$329.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.69 / $210.22 / $505.71	Facility	26	$134.69	$210.22	$505.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.08 / $296.48 / $598.51	Professional		$229.08	$296.48	$598.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.54 / $114.73 / $199.29	Professional	26	$69.54	$114.73	$199.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.12 / $186.38 / $388.12	Professional	TC	$143.12	$186.38	$388.12
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $116.72 / $185.35 / $398.20	Facility	26	$116.72	$185.35	$398.20
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $233.45 / $291.81 / $563.46	Professional		$233.45	$291.81	$563.46
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $90.34 / $112.35 / $182.36	Professional	26	$90.34	$112.35	$182.36
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $143.12 / $178.89 / $406.52	Professional	TC	$143.12	$178.89	$406.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $568.24 / $568.24 / $568.24	Facility	26	$568.24	$568.24	$568.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $340.42 / $1,403.43	Professional		$184.15	$340.42	$1,403.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.68 / $121.19 / $384.88	Professional	26	$65.68	$121.19	$384.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $111.55 / $224.23 / $1,332.00	Professional	TC	$111.55	$224.23	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $322.48 / $556.29	Professional		$167.09	$322.48	$556.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.68 / $115.74 / $330.77	Professional	26	$65.68	$115.74	$330.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.41 / $202.82 / $342.51	Professional	TC	$101.41	$202.82	$342.51