Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.08 / $78.08 / $78.08	Facility	26	$78.08	$78.08	$78.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.61 / $340.04 / $1,774.60	Professional		$222.61	$340.04	$1,774.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.44 / $76.20 / $158.52	Professional	26	$58.44	$76.20	$158.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.41 / $220.00 / $345.93	Professional	TC	$146.41	$220.00	$345.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $63.92 / $63.92 / $63.92	Facility	26	$63.92	$63.92	$63.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.33 / $657.71 / $797.71	Professional		$391.33	$657.71	$797.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.19 / $218.59 / $265.12	Professional	26	$132.19	$218.59	$265.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.73 / $439.12 / $532.59	Professional	TC	$300.73	$439.12	$532.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.13 / $263.97 / $635.02	Facility	26	$169.13	$263.97	$635.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.07 / $436.99 / $762.44	Professional		$337.07	$436.99	$762.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.59 / $143.72 / $244.08	Professional	26	$78.59	$143.72	$244.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $226.28 / $297.57 / $516.28	Professional	TC	$226.28	$297.57	$516.28
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $146.57 / $232.74 / $500.01	Facility	26	$146.57	$232.74	$500.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $344.09 / $430.11 / $694.61	Professional		$344.09	$430.11	$694.61
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $113.17 / $140.76 / $228.46	Professional	26	$113.17	$140.76	$228.46
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $230.91 / $288.64 / $466.15	Professional	TC	$230.91	$288.64	$466.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $714.16 / $714.16 / $714.16	Facility	26	$714.16	$714.16	$714.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $499.47 / $2,036.01	Professional		$273.52	$499.47	$2,036.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.87 / $143.51 / $484.69	Professional	26	$81.87	$143.51	$484.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $181.82 / $357.25 / $2,005.00	Professional	TC	$181.82	$357.25	$2,005.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.66 / $455.80 / $827.86	Professional		$248.66	$455.80	$827.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.98 / $130.88 / $277.56	Professional	26	$79.98	$130.88	$277.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.32 / $330.58 / $558.78	Professional	TC	$166.32	$330.58	$558.78