Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.09 / $67.09 / $113.39	Facility	26	$67.09	$67.09	$113.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $287.80 / $1,494.35	Professional		$185.18	$287.80	$1,494.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $80.65 / $355.00	Professional	26	$59.34	$80.65	$355.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.73 / $221.81 / $360.12	Professional	TC	$119.73	$221.81	$360.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $54.71 / $54.71 / $54.71	Facility	26	$54.71	$54.71	$54.71
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 $112.97 / $187.64 / $227.58	Professional	26	$112.97	$187.64	$227.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.75 / $360.78 / $437.57	Professional	TC	$250.75	$360.78	$437.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.41 / $226.94 / $545.94	Facility	26	$145.41	$226.94	$545.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.23 / $363.51 / $655.24	Professional		$286.23	$363.51	$655.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.03 / $123.10 / $211.33	Professional	26	$75.03	$123.10	$211.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.30 / $245.56 / $454.29	Professional	TC	$189.30	$245.56	$454.29
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $126.01 / $200.09 / $429.88	Facility	26	$126.01	$200.09	$429.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $286.23 / $369.70 / $587.60	Professional		$286.23	$369.70	$587.60
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $96.93 / $121.17 / $195.68	Professional	26	$96.93	$121.17	$195.68
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $189.30 / $244.50 / $406.52	Professional	TC	$189.30	$244.50	$406.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $612.88 / $612.88 / $612.88	Facility	26	$612.88	$612.88	$612.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $473.64 / $1,680.90	Professional		$237.90	$473.64	$1,680.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.98 / $152.36 / $414.94	Professional	26	$81.98	$152.36	$414.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $148.99 / $298.63 / $1,425.00	Professional	TC	$148.99	$298.63	$1,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.71 / $383.22 / $676.87	Professional		$205.71	$383.22	$676.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.73 / $118.10 / $222.85	Professional	26	$70.73	$118.10	$222.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.97 / $269.94 / $436.78	Professional	TC	$134.97	$269.94	$436.78