Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.77 / $71.77 / $121.29	Facility	26	$71.77	$71.77	$121.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.85 / $425.00 / $708.79	Professional		$202.85	$425.00	$708.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.77 / $140.00 / $388.00	Professional	26	$71.77	$140.00	$388.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.72 / $295.64 / $433.00	Professional	TC	$128.72	$295.64	$433.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	26	$58.74	$58.74	$58.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.33 / $567.76 / $688.61	Professional		$338.33	$567.76	$688.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $121.71 / $201.18 / $244.00	Professional	26	$121.71	$201.18	$244.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $252.93 / $366.57 / $444.60	Professional	TC	$252.93	$366.57	$444.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.36 / $242.47 / $583.29	Facility	26	$155.36	$242.47	$583.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.89 / $400.66 / $995.62	Professional		$296.89	$400.66	$995.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.24 / $132.13 / $229.86	Professional	26	$86.24	$132.13	$229.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.85 / $264.73 / $767.60	Professional	TC	$192.85	$264.73	$767.60
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $134.63 / $213.78 / $459.29	Facility	26	$134.63	$213.78	$459.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $296.89 / $388.91 / $967.72	Professional		$296.89	$388.91	$967.72
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $104.04 / $132.57 / $210.02	Professional	26	$104.04	$132.57	$210.02
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $192.85 / $252.62 / $760.00	Professional	TC	$192.85	$252.62	$760.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $656.72 / $656.72 / $656.72	Facility	26	$656.72	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $501.11 / $3,174.82	Professional		$251.10	$501.11	$3,174.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.70 / $149.32 / $609.25	Professional	26	$81.70	$149.32	$609.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $156.16 / $298.26 / $2,772.01	Professional	TC	$156.16	$298.26	$2,772.01
United Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $410.89 / $776.57	Professional		$220.51	$410.89	$776.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.78 / $126.26 / $232.38	Professional	26	$74.78	$126.26	$232.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.36 / $284.76 / $521.33	Professional	TC	$144.36	$284.76	$521.33