Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.49 / $61.49 / $61.49	Facility	26	$61.49	$61.49	$61.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.79 / $262.49 / $397.04	Professional		$188.79	$262.49	$397.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $60.67 / $117.18	Professional	26	$51.59	$60.67	$117.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.03 / $190.28 / $300.36	Professional	TC	$132.03	$190.28	$300.36
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.09 / $50.09 / $50.09	Facility	26	$50.09	$50.09	$50.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.81 / $589.04 / $714.42	Professional		$348.81	$589.04	$714.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.66 / $172.16 / $208.81	Professional	26	$103.66	$172.16	$208.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $287.63 / $416.88 / $505.61	Professional	TC	$287.63	$416.88	$505.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.16 / $207.83 / $499.97	Facility	26	$133.16	$207.83	$499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.04 / $404.79 / $704.69	Professional		$307.04	$404.79	$704.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.23 / $112.79 / $192.52	Professional	26	$68.23	$112.79	$192.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.23 / $292.38 / $516.28	Professional	TC	$218.23	$292.38	$516.28
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $115.40 / $183.24 / $393.68	Facility	26	$115.40	$183.24	$393.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $307.04 / $381.88 / $619.82	Professional		$307.04	$381.88	$619.82
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $88.81 / $109.04 / $179.29	Professional	26	$88.81	$109.04	$179.29
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $218.23 / $271.42 / $440.54	Professional	TC	$218.23	$271.42	$440.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.06 / $483.08 / $2,293.84	Professional		$256.06	$483.08	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.59 / $116.28 / $523.40	Professional	26	$64.59	$116.28	$523.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $185.00 / $361.59 / $2,412.00	Professional	TC	$185.00	$361.59	$2,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $439.71 / $774.99	Professional		$232.78	$439.71	$774.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.54 / $105.38 / $199.55	Professional	26	$63.54	$105.38	$199.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.16 / $352.67 / $559.91	Professional	TC	$172.16	$352.67	$559.91