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 / $81.87	Facility	26	$48.16	$48.16	$81.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.01 / $221.75 / $286.95	Professional		$130.01	$221.75	$286.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.51 / $51.92 / $223.20	Professional	26	$43.51	$51.92	$223.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.05 / $168.26 / $220.00	Professional	TC	$83.05	$168.26	$220.00
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 $230.02 / $385.92 / $468.07	Professional		$230.02	$385.92	$468.07
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 $174.02 / $250.51 / $303.83	Professional	TC	$174.02	$250.51	$303.83
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 $201.99 / $272.58 / $534.87	Professional		$201.99	$272.58	$534.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.82 / $88.94 / $151.05	Professional	26	$58.82	$88.94	$151.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.94 / $182.77 / $410.59	Professional	TC	$131.94	$182.77	$410.59
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 $201.99 / $264.58 / $527.63	Professional		$201.99	$264.58	$527.63
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.04 / $83.99 / $141.38	Professional	26	$70.04	$83.99	$141.38
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $131.94 / $170.43 / $364.51	Professional	TC	$131.94	$170.43	$364.51
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 $173.88 / $330.64 / $1,609.32	Professional		$173.88	$330.64	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.12 / $100.64 / $379.76	Professional	26	$55.12	$100.64	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $117.50 / $236.95 / $1,318.35	Professional	TC	$117.50	$236.95	$1,318.35
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $312.27 / $563.71	Professional		$158.07	$312.27	$563.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $85.19 / $156.40	Professional	26	$51.25	$85.19	$156.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.82 / $207.05 / $360.84	Professional	TC	$106.82	$207.05	$360.84