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 $169.28 / $282.06 / $373.85	Professional		$169.28	$282.06	$373.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $58.91 / $198.07	Professional	26	$52.78	$58.91	$198.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.79 / $220.00 / $281.42	Professional	TC	$111.79	$220.00	$281.42
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 $299.91 / $502.95 / $610.01	Professional		$299.91	$502.95	$610.01
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 $234.50 / $337.56 / $409.41	Professional	TC	$234.50	$337.56	$409.41
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 $263.89 / $344.27 / $648.72	Professional		$263.89	$344.27	$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 $178.13 / $238.67 / $456.69	Professional	TC	$178.13	$238.67	$456.69
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 $263.89 / $329.88 / $561.16	Professional		$263.89	$329.88	$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 $178.13 / $222.67 / $406.52	Professional	TC	$178.13	$222.67	$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 $218.74 / $412.41 / $1,882.38	Professional		$218.74	$412.41	$1,882.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $118.98 / $434.24	Professional	26	$62.44	$118.98	$434.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $150.05 / $293.27 / $1,906.00	Professional	TC	$150.05	$293.27	$1,906.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $371.49 / $652.91	Professional		$198.85	$371.49	$652.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.30 / $106.78 / $190.54	Professional	26	$62.30	$106.78	$190.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.41 / $272.45 / $454.15	Professional	TC	$136.41	$272.45	$454.15