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 $223.87 / $407.38 / $870.96	Professional		$223.87	$407.38	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $112.20 / $186.21	Professional	26	$57.54	$112.20	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $302.00 / $562.34	Professional	TC	$162.18	$302.00	$562.34
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 $363.08 / $537.03 / $794.33	Professional		$363.08	$537.03	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $134.90 / $204.17	Professional	26	$93.33	$134.90	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $416.87 / $588.84	Professional	TC	$269.15	$416.87	$588.84
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 $338.84 / $426.58 / $912.01	Professional		$338.84	$426.58	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $107.15 / $177.83	Professional	26	$61.66	$107.15	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $323.59 / $707.95	Professional	TC	$251.19	$323.59	$707.95
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 $338.84 / $338.84 / $724.44	Professional		$338.84	$338.84	$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 $251.19 / $251.19 / $616.60	Professional	TC	$251.19	$251.19	$616.60
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 $275.42 / $588.84 / $2,951.21	Professional		$275.42	$588.84	$2,951.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $112.20 / $501.19	Professional	26	$58.88	$112.20	$501.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $457.09 / $2,630.27	Professional	TC	$190.55	$457.09	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $537.03 / $831.76	Professional		$251.19	$537.03	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $102.33 / $177.83	Professional	26	$58.88	$102.33	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $416.87 / $691.83	Professional	TC	$190.55	$416.87	$691.83