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 $129.37 / $221.75 / $896.36	Professional		$129.37	$221.75	$896.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.71 / $55.00 / $242.08	Professional	26	$43.71	$55.00	$242.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.42 / $171.09 / $221.14	Professional	TC	$82.42	$171.09	$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 $229.44 / $383.99 / $465.72	Professional		$229.44	$383.99	$465.72
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 / $248.58 / $301.49	Professional	TC	$174.02	$248.58	$301.49
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 $201.48 / $271.89 / $534.87	Professional		$201.48	$271.89	$534.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.87 / $88.94 / $151.05	Professional	26	$58.87	$88.94	$151.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.44 / $182.07 / $410.59	Professional	TC	$131.44	$182.07	$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 $201.48 / $263.93 / $527.63	Professional		$201.48	$263.93	$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 $131.44 / $169.77 / $364.51	Professional	TC	$131.44	$169.77	$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 $173.09 / $344.68 / $1,609.32	Professional		$173.09	$344.68	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.87 / $105.79 / $480.60	Professional	26	$56.87	$105.79	$480.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $116.71 / $235.97 / $1,345.00	Professional	TC	$116.71	$235.97	$1,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $308.41 / $523.86	Professional		$157.35	$308.41	$523.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $85.19 / $160.96	Professional	26	$51.25	$85.19	$160.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.10 / $212.20 / $353.23	Professional	TC	$106.10	$212.20	$353.23