Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $776.25	Professional		$234.42	$426.58	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $181.97	Professional	26	$57.54	$95.50	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $302.00 / $660.69	Professional	TC	$177.83	$302.00	$660.69
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $47.86 / $47.86	Facility	26	$41.69	$47.86	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $831.76	Professional		$380.19	$562.34	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $134.90 / $199.53	Professional	26	$91.20	$134.90	$199.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $436.52 / $630.96	Professional	TC	$288.40	$436.52	$630.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $181.97 / $489.78	Facility	26	$45.71	$181.97	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $912.01	Professional		$354.81	$446.68	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $107.15 / $177.83	Professional	26	$60.26	$107.15	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $346.74 / $741.31	Professional	TC	$269.15	$346.74	$741.31
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $199.53 / $389.05	Facility	26	$158.49	$199.53	$389.05
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $724.44	Professional		$354.81	$354.81	$724.44
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $131.83	Professional	26	$85.11	$85.11	$131.83
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $269.15 / $549.54	Professional	TC	$269.15	$269.15	$549.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $588.84 / $2,951.21	Professional		$281.84	$588.84	$2,951.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $107.15 / $602.56	Professional	26	$56.23	$107.15	$602.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $467.74 / $2,630.27	Professional	TC	$199.53	$467.74	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $549.54 / $812.83	Professional		$263.03	$549.54	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $100.00 / $177.83	Professional	26	$58.88	$100.00	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $436.52 / $691.83	Professional	TC	$199.53	$436.52	$691.83