Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $57.54 / $89.13	Facility	26	$54.95	$57.54	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $602.56	Professional		$169.82	$239.88	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $77.62 / $234.42	Professional	26	$52.48	$77.62	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $371.54	Professional	TC	$112.20	$173.78	$371.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $48.98 / $48.98	Facility	26	$42.66	$48.98	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $616.60	Professional		$281.84	$416.87	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $138.04 / $204.17	Professional	26	$93.33	$138.04	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $295.12 / $416.87	Professional	TC	$190.55	$295.12	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $181.97 / $501.19	Facility	26	$46.77	$181.97	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $588.84	Professional		$245.47	$338.84	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $109.65 / $181.97	Professional	26	$61.66	$109.65	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $223.87 / $426.58	Professional	TC	$173.78	$223.87	$426.58
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $204.17 / $398.11	Facility	26	$162.18	$204.17	$398.11
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $512.86	Professional		$263.03	$263.03	$512.86
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $134.90	Professional	26	$85.11	$85.11	$134.90
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $177.83 / $346.74	Professional	TC	$177.83	$177.83	$346.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $407.38 / $1,862.09	Professional		$208.93	$407.38	$1,862.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $123.03 / $436.52	Professional	26	$63.10	$123.03	$436.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $288.40 / $1,905.46	Professional	TC	$138.04	$288.40	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $602.56	Professional		$199.53	$380.19	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $181.97	Professional	26	$61.66	$100.00	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $269.15 / $436.52	Professional	TC	$134.90	$269.15	$436.52