Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.91 / $58.91 / $58.91	Facility	26	$58.91	$58.91	$58.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.96 / $275.00 / $347.11	Professional		$168.96	$275.00	$347.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $58.91 / $190.08	Professional	26	$52.46	$58.91	$190.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.48 / $214.72 / $281.81	Professional	TC	$111.48	$214.72	$281.81
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $48.37 / $48.37 / $48.37	Facility	26	$48.37	$48.37	$48.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.74 / $501.99 / $608.84	Professional		$298.74	$501.99	$608.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.58 / $165.39 / $200.60	Professional	26	$99.58	$165.39	$200.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $230.51 / $336.59 / $408.24	Professional	TC	$230.51	$336.59	$408.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.57 / $200.67 / $482.73	Facility	26	$128.57	$200.67	$482.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $342.94 / $648.72	Professional		$262.89	$342.94	$648.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.61 / $108.92 / $186.99	Professional	26	$65.61	$108.92	$186.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.12 / $237.31 / $454.09	Professional	TC	$177.12	$237.31	$454.09
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $111.42 / $176.92 / $380.10	Facility	26	$111.42	$176.92	$380.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $328.61 / $561.16	Professional		$262.89	$328.61	$561.16
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $85.77 / $106.67 / $173.14	Professional	26	$85.77	$106.67	$173.14
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $177.12 / $221.40 / $406.52	Professional	TC	$177.12	$221.40	$406.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $540.32 / $540.32 / $540.32	Facility	26	$540.32	$540.32	$540.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.34 / $411.29 / $1,882.38	Professional		$218.34	$411.29	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $112.98 / $434.24	Professional	26	$62.44	$112.98	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $149.66 / $300.12 / $1,576.92	Professional	TC	$149.66	$300.12	$1,576.92
United Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $388.44 / $664.66	Professional		$198.49	$388.44	$664.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $107.78 / $190.55	Professional	26	$62.44	$107.78	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.05 / $274.39 / $459.80	Professional	TC	$136.05	$274.39	$459.80