Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.46 / $56.46 / $90.33	Facility	26	$56.46	$56.46	$90.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $282.66 / $1,590.30	Professional		$122.77	$282.66	$1,590.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.10 / $68.33 / $284.00	Professional	26	$51.10	$68.33	$284.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.79 / $223.71 / $402.60	Professional	TC	$111.79	$223.71	$402.60
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $46.36 / $46.36 / $46.36	Facility	26	$46.36	$46.36	$46.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $497.15 / $602.97	Professional		$295.83	$497.15	$602.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.51 / $158.63 / $192.39	Professional	26	$95.51	$158.63	$192.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.58 / $338.53 / $410.59	Professional	TC	$233.58	$338.53	$410.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.21 / $192.30 / $462.61	Facility	26	$123.21	$192.30	$462.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.35 / $344.45 / $640.98	Professional		$260.35	$344.45	$640.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.16 / $104.41 / $179.24	Professional	26	$66.16	$104.41	$179.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.13 / $240.16 / $456.69	Professional	TC	$178.13	$240.16	$456.69
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $106.78 / $169.55 / $364.26	Facility	26	$106.78	$169.55	$364.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $260.35 / $341.04 / $554.72	Professional		$260.35	$341.04	$554.72
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $82.22 / $102.77 / $165.97	Professional	26	$82.22	$102.77	$165.97
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $178.13 / $230.08 / $406.52	Professional	TC	$178.13	$230.08	$406.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $518.00 / $518.00 / $518.00	Facility	26	$518.00	$518.00	$518.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.05 / $437.67 / $1,890.30	Professional		$239.05	$437.67	$1,890.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $76.66 / $135.13 / $450.76	Professional	26	$76.66	$135.13	$450.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $148.86 / $308.02 / $1,576.92	Professional	TC	$148.86	$308.02	$1,576.92
United Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $373.81 / $663.23	Professional		$199.21	$373.81	$663.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.88 / $110.33 / $194.76	Professional	26	$63.88	$110.33	$194.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.33 / $265.25 / $450.55	Professional	TC	$135.33	$265.25	$450.55