Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.86 / $57.86 / $57.86	Facility	26	$57.86	$57.86	$57.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.91 / $415.80 / $600.00	Professional		$240.91	$415.80	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.86 / $86.14 / $154.00	Professional	26	$57.86	$86.14	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.15 / $329.66 / $433.00	Professional	TC	$181.15	$329.66	$433.00
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 $403.55 / $678.02 / $822.34	Professional		$403.55	$678.02	$822.34
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 $355.70 / $515.53 / $625.26	Professional	TC	$355.70	$515.53	$625.26
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 $355.76 / $476.65 / $956.62	Professional		$355.76	$476.65	$956.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.90 / $106.99 / $182.56	Professional	26	$63.90	$106.99	$182.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $274.23 / $363.78 / $799.83	Professional	TC	$274.23	$363.78	$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 $355.76 / $442.47 / $904.29	Professional		$355.76	$442.47	$904.29
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $84.25 / $103.43 / $170.07	Professional	26	$84.25	$103.43	$170.07
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $271.51 / $337.69 / $763.97	Professional	TC	$271.51	$337.69	$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 $288.72 / $626.21 / $2,955.62	Professional		$288.72	$626.21	$2,955.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $110.96 / $596.05	Professional	26	$61.35	$110.96	$596.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $218.74 / $490.14 / $2,626.86	Professional	TC	$218.74	$490.14	$2,626.86
United Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $540.36 / $813.36	Professional		$260.20	$540.36	$813.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $105.86 / $187.22	Professional	26	$60.27	$105.86	$187.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.86 / $461.77 / $673.58	Professional	TC	$198.86	$461.77	$673.58