Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.16 / $48.16 / $81.39	Facility	26	$48.16	$48.16	$81.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.31 / $221.75 / $877.07	Professional		$129.31	$221.75	$877.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $57.25 / $227.28	Professional	26	$44.14	$57.25	$227.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.05 / $168.26 / $221.14	Professional	TC	$83.05	$168.26	$221.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $39.45 / $39.45 / $39.45	Facility	26	$39.45	$39.45	$39.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.61 / $386.89 / $469.24	Professional		$230.61	$386.89	$469.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.52 / $135.41 / $164.23	Professional	26	$81.52	$135.41	$164.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.51 / $251.48 / $305.01	Professional	TC	$173.51	$251.48	$305.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.61 / $164.83 / $396.53	Facility	26	$105.61	$164.83	$396.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.49 / $267.91 / $543.59	Professional		$202.49	$267.91	$543.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.22 / $88.94 / $152.69	Professional	26	$57.22	$88.94	$152.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $132.46 / $177.47 / $406.52	Professional	TC	$132.46	$177.47	$406.52
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $91.52 / $145.33 / $312.23	Facility	26	$91.52	$145.33	$312.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $202.49 / $253.12 / $527.63	Professional		$202.49	$253.12	$527.63
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.04 / $82.90 / $141.38	Professional	26	$70.04	$82.90	$141.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $132.46 / $165.57 / $378.45	Professional	TC	$132.46	$165.57	$378.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $349.64 / $1,609.32	Professional		$159.78	$349.64	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.50 / $116.53 / $379.76	Professional	26	$61.50	$116.53	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $117.50 / $238.57 / $1,331.00	Professional	TC	$117.50	$238.57	$1,331.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $305.08 / $526.26	Professional		$158.07	$305.08	$526.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $91.32 / $156.40	Professional	26	$51.25	$91.32	$156.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.82 / $214.90 / $377.38	Professional	TC	$106.82	$214.90	$377.38