Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.22 / $58.22 / $98.97	Facility	26	$58.22	$58.22	$98.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.48 / $425.00 / $546.25	Professional		$228.48	$425.00	$546.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.22 / $126.00 / $269.10	Professional	26	$58.22	$126.00	$269.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.39 / $335.00 / $498.61	Professional	TC	$168.39	$335.00	$498.61
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.51 / $47.51 / $47.51	Facility	26	$47.51	$47.51	$47.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.02 / $643.20 / $780.11	Professional		$382.02	$643.20	$780.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.84 / $162.49 / $197.08	Professional	26	$97.84	$162.49	$197.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $331.68 / $480.71 / $583.03	Professional	TC	$331.68	$480.71	$583.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.27 / $197.08 / $474.11	Facility	26	$126.27	$197.08	$474.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.84 / $465.50 / $945.02	Professional		$339.84	$465.50	$945.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.04 / $106.99 / $182.56	Professional	26	$65.04	$106.99	$182.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.75 / $350.63 / $799.83	Professional	TC	$254.75	$350.63	$799.83
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $109.43 / $173.76 / $373.31	Facility	26	$109.43	$173.76	$373.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $336.47 / $434.60 / $935.66	Professional		$336.47	$434.60	$935.66
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $84.25 / $105.31 / $170.07	Professional	26	$84.25	$105.31	$170.07
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $252.23 / $325.77 / $763.97	Professional	TC	$252.23	$325.77	$763.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $530.79 / $530.79 / $530.79	Facility	26	$530.79	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $632.53 / $2,968.23	Professional		$298.82	$632.53	$2,968.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.36 / $120.66 / $505.24	Professional	26	$66.36	$120.66	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $206.43 / $488.78 / $2,638.88	Professional	TC	$206.43	$488.78	$2,638.88
United Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $554.15 / $801.84	Professional		$249.02	$554.15	$801.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $108.59 / $187.04	Professional	26	$60.27	$108.59	$187.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $187.67 / $435.73 / $670.46	Professional	TC	$187.67	$435.73	$670.46