Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.60 / $52.60 / $52.60	Facility	26	$52.60	$52.60	$52.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $220.65 / $646.00	Professional		$133.46	$220.65	$646.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $54.56 / $183.86	Professional	26	$46.78	$54.56	$183.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.10 / $166.33 / $220.00	Professional	TC	$82.10	$166.33	$220.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.19 / $43.19 / $43.19	Facility	26	$43.19	$43.19	$43.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.85 / $395.60 / $479.80	Professional		$235.85	$395.60	$479.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.10 / $147.97 / $179.48	Professional	26	$89.10	$147.97	$179.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.85 / $247.61 / $300.31	Professional	TC	$170.85	$247.61	$300.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.80 / $179.17 / $431.01	Facility	26	$114.80	$179.17	$431.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.06 / $270.12 / $547.33	Professional		$207.06	$270.12	$547.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.39 / $97.32 / $169.85	Professional	26	$59.39	$97.32	$169.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $130.43 / $172.56 / $410.59	Professional	TC	$130.43	$172.56	$410.59
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $99.48 / $157.97 / $339.38	Facility	26	$99.48	$157.97	$339.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $207.06 / $271.24 / $535.11	Professional		$207.06	$271.24	$535.11
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $76.63 / $95.79 / $154.69	Professional	26	$76.63	$95.79	$154.69
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $130.43 / $168.46 / $364.51	Professional	TC	$130.43	$168.46	$364.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $482.96 / $482.96 / $482.96	Facility	26	$482.96	$482.96	$482.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.10 / $292.98 / $1,593.12	Professional		$163.10	$292.98	$1,593.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.58 / $106.23 / $325.83	Professional	26	$55.58	$106.23	$325.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $101.23 / $183.68 / $1,318.35	Professional	TC	$101.23	$183.68	$1,318.35
United Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $265.70 / $491.44	Professional		$147.61	$265.70	$491.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.60 / $93.16 / $174.86	Professional	26	$54.60	$93.16	$174.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.03 / $168.25 / $310.77	Professional	TC	$92.03	$168.25	$310.77