Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.98 / $64.98 / $64.98	Facility	26	$64.98	$64.98	$64.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.91 / $425.00 / $600.00	Professional		$240.91	$425.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.98 / $126.00 / $162.06	Professional	26	$64.98	$126.00	$162.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.77 / $335.00 / $399.19	Professional	TC	$173.77	$335.00	$399.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.27 / $53.27 / $53.27	Facility	26	$53.27	$53.27	$53.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.06 / $675.12 / $818.82	Professional		$400.06	$675.12	$818.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.06 / $182.81 / $221.72	Professional	26	$110.06	$182.81	$221.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $339.69 / $492.32 / $597.11	Professional	TC	$339.69	$492.32	$597.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.58 / $220.97 / $531.57	Facility	26	$141.58	$220.97	$531.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.71 / $467.02 / $979.41	Professional		$352.71	$467.02	$979.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.17 / $119.88 / $205.79	Professional	26	$72.17	$119.88	$205.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $258.32 / $346.10 / $812.79	Professional	TC	$258.32	$346.10	$812.79
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $122.69 / $194.82 / $418.56	Facility	26	$122.69	$194.82	$418.56
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $352.71 / $440.89 / $956.51	Professional		$352.71	$440.89	$956.51
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $94.40 / $117.40 / $190.56	Professional	26	$94.40	$117.40	$190.56
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $258.32 / $322.89 / $791.91	Professional	TC	$258.32	$322.89	$791.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $596.96 / $596.96 / $596.96	Facility	26	$596.96	$596.96	$596.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $554.53 / $2,821.00	Professional		$291.39	$554.53	$2,821.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $124.32 / $625.77	Professional	26	$68.56	$124.32	$625.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $215.96 / $433.39 / $2,451.15	Professional	TC	$215.96	$433.39	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $519.21 / $881.93	Professional		$264.89	$519.21	$881.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $114.41 / $215.86	Professional	26	$68.56	$114.41	$215.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.33 / $385.23 / $634.91	Professional	TC	$196.33	$385.23	$634.91