Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $794.33	Professional		$194.98	$275.42	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $208.93	Professional	26	$54.95	$79.43	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $199.53 / $416.87	Professional	TC	$134.90	$199.53	$416.87
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $50.12 / $50.12	Facility	26	$43.65	$50.12	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $707.95	Professional		$323.59	$489.78	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $141.25 / $208.93	Professional	26	$95.50	$141.25	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $354.81 / $501.19	Professional	TC	$229.09	$354.81	$501.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $186.21 / $512.86	Facility	26	$47.86	$186.21	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $676.08	Professional		$288.40	$389.05	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $112.20 / $186.21	Professional	26	$69.18	$112.20	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $275.42 / $489.78	Professional	TC	$208.93	$275.42	$489.78
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $208.93 / $407.38	Facility	26	$165.96	$208.93	$407.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $537.03	Professional		$309.03	$309.03	$537.03
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $141.25	Professional	26	$87.10	$87.10	$141.25
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $218.78 / $389.05	Professional	TC	$218.78	$218.78	$389.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	26	$549.54	$549.54	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $489.78 / $2,344.23	Professional		$234.42	$489.78	$2,344.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $123.03 / $537.03	Professional	26	$69.18	$123.03	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $354.81 / $1,995.26	Professional	TC	$169.82	$354.81	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $724.44	Professional		$234.42	$457.09	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $109.65 / $194.98	Professional	26	$69.18	$109.65	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $331.13 / $524.81	Professional	TC	$165.96	$331.13	$524.81