Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.32 / $60.32 / $60.32	Facility	26	$60.32	$60.32	$60.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $275.00 / $436.33	Professional		$196.69	$275.00	$436.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $60.32 / $136.12	Professional	26	$55.00	$60.32	$136.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.84 / $220.00 / $358.73	Professional	TC	$137.84	$220.00	$358.73
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $49.52 / $49.52 / $49.52	Facility	26	$49.52	$49.52	$49.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.65 / $584.20 / $708.55	Professional		$347.65	$584.20	$708.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.49 / $169.26 / $205.29	Professional	26	$102.49	$169.26	$205.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $286.30 / $414.94 / $503.26	Professional	TC	$286.30	$414.94	$503.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.63 / $205.44 / $494.22	Facility	26	$131.63	$205.44	$494.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.02 / $404.88 / $703.03	Professional		$306.02	$404.88	$703.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.84 / $111.50 / $191.41	Professional	26	$73.84	$111.50	$191.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.23 / $294.50 / $516.28	Professional	TC	$218.23	$294.50	$516.28
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $114.07 / $181.13 / $389.15	Facility	26	$114.07	$181.13	$389.15
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $306.02 / $395.27 / $617.77	Professional		$306.02	$395.27	$617.77
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $87.80 / $109.75 / $177.24	Professional	26	$87.80	$109.75	$177.24
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $218.23 / $281.87 / $441.64	Professional	TC	$218.23	$281.87	$441.64
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $553.04 / $553.04 / $553.04	Facility	26	$553.04	$553.04	$553.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.96 / $489.97 / $2,319.03	Professional		$254.96	$489.97	$2,319.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.37 / $125.54 / $543.21	Professional	26	$70.37	$125.54	$543.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $176.89 / $358.50 / $1,973.17	Professional	TC	$176.89	$358.50	$1,973.17
United Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $447.97 / $790.27	Professional		$235.67	$447.97	$790.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.90 / $124.38 / $214.75	Professional	26	$69.90	$124.38	$214.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.30 / $323.99 / $550.33	Professional	TC	$165.30	$323.99	$550.33