Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $501.19	Professional		$190.55	$263.03	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.57 / $141.25	Professional	26	$54.95	$64.57	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $190.55 / $380.19	Professional	TC	$134.90	$190.55	$380.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $50.12 / $50.12	Facility	26	$43.65	$50.12	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $724.44	Professional		$331.13	$489.78	$724.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $144.54 / $213.80	Professional	26	$97.72	$144.54	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $363.08 / $501.19	Professional	TC	$229.09	$363.08	$501.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $190.55 / $524.81	Facility	26	$48.98	$190.55	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $676.08	Professional		$288.40	$389.05	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $112.20 / $186.21	Professional	26	$63.10	$112.20	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $275.42 / $501.19	Professional	TC	$213.80	$275.42	$501.19
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $208.93 / $407.38	Facility	26	$169.82	$208.93	$407.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $524.81	Professional		$309.03	$309.03	$524.81
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $89.13 / $141.25	Professional	26	$89.13	$89.13	$141.25
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $218.78 / $389.05	Professional	TC	$218.78	$218.78	$389.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	26	$562.34	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $2,290.87	Professional		$245.47	$478.63	$2,290.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $112.20 / $524.81	Professional	26	$61.66	$112.20	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $363.08 / $2,398.83	Professional	TC	$169.82	$363.08	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $707.95	Professional		$234.42	$457.09	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $104.71 / $186.21	Professional	26	$63.10	$104.71	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $338.84 / $537.03	Professional	TC	$169.82	$338.84	$537.03